Conversation: The conversation between human and AI assistant.
[|Human|] I am a 35 year old male and own a landscape business for 2 years, for the last 6 weeks It has become difficult for me to get through half the day without becoming exhausted (low energy that comes on fairly sudden, slightly shakey, foggy mind kinda like im in a dream) I have cut my hours back and have had employees make up the difference, thinking maby I am working to hard, energy still cuts out half way thru the day. I have had some life changes (seperation, moving to new house, extra debt to support expanding business)but nothing I would consider unmanageable. Any advice? I have setup a health exam with my doctor in September? Could this be physical or phsychological? Any advice from past experiencees?Thanks!
[|AI|]  Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You have to rule out anemia first by he estimation. I suggest you to investigate with serum calcium, serum sodium, potassium estimation, serum TSH estimation for primary work up. Got, Sept, urea, creatinine also investigated as toxic metabolite accumulation also sometime can lead fatigue. You are absolutely right in a way that fatigue can be from exhaustion, overwork, lack of sleep etc. Revert with above reports to guide you further. Hope I have solved your query. Let me know if I can assist you further.