Conversation: The conversation between human and AI assistant.
[|Human|] I have Thal B Minor from my mothers side. My Hemoglobin is 111 g/Lt. I was diagnosed with Hoshimotos early this year (Jan-2011) and take 5mcg Thyroxin. My recent 2 blood tests show slightly low platelets 112 and 116 . My W & R BC are normal range.  My RDW is 18.2% (above range. I feel tired and sleepy lately and have little endurance to walk > 1 km. I am 58 y.o.  I have an enlarged prostate (98g) that constricts sometimes and I take Flowmax when needed. I have spells of ED. Over the past 10 years I noticed a material decline in my stamina, strength, alertness and sex drive. I am concerned that my health is also reducing my ability to work and therefore my economic well-being as well as my physical and emotional health.  Any suggestions on mitigating my tiredness and lack of drive?
[|AI|]  Hi, I would recommend having a testosterone test done. You may have symptoms of low testosterone and may need testosterone replacement therapy. Low stamina, decrease in libido, general feeling of fatigue.  Make sure to get a testosterone test in the early morning before 10 am to catch the testosterone peak.  I also suggest taking Flo max regularly instead of as needed because it would take at least 5 days off continues intake before you will reach a therapeutic level and before there will be an effect on the prostate and improve flow.  Hope I have answered your query. Let me know if I can assist you further.