It is difficult to ascertain the cause of your symptoms as they can occur in a wide multitude of diseases such as diabetes, hypothyroidism, chronic involvement of liver or kidney, chronic alcohol use, hypoparathyroidism, electrolyte imbalance,
vitamin B12 or
vitamin D deficiency, hormonal imbalance, blood pressure fluctuations, hypoglycemia etc. Please discuss with your doctor. Your doctor will request some lab tests depending on your detailed medical history and clinical examination.