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43 year old man experiencing fatigue: What could be the reason?

Nidhi

Nidhi Gupta  | Answer  |Ask -

Physiotherapist - Answered on Oct 07, 2024

Nidhi Bajaj Gupta has 20 years of experience as a physiotherapist.
She founded the Merahki Holistic Wellness Company in 2011 and is the co-founder of Miraaya Holistic Growth Centre.
She has a bachelor's degree in physiotherapy from Sancheti Institute for Orthopaedics and Rehabilitation, Pune, and certifications in myofascial release, dry needling and craniosacral therapy from New York, San Francisco and Singapore.
She combines both Eastern and Western ways of healing. ... more
Asked by Anonymous - Sep 24, 2024Hindi
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Hi. I am married man and turned 43 recently. In my recent health check up, all reports were ok. But, I've observed that I get tired in the evening when I come home. I've office work only , even then I get tired now. Earlier it was not the case. Now when I play with my 1.5 year old daughter or, do some extensive physical work, I feel exhausted and tired. May be age factor. Your guidance please.

Ans: Hello Anonymous,
In your reports are your D3 and B12 levels ok?
Are you taking any vitamin or magnesium supplements?
Are you doing any kind of exercises especially a cardio workout?
Yes, after 40 the body does undergo changes and fatigue too hence post 40 it becomes even more crucial to take more care of our body. Usually some form of pranayama/breathwork helps a lot to reduce fatigue. Please learn some simple pranayamas' from a good yoga teacher and once you come home do them for 15 minutes and take a shower. Both can help in reducing fatigue and energizing you.
All the best!
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Chandrakant

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Asked by Anonymous - Oct 27, 2024Hindi
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Hello Dr... I am 46 years old moderately built with a weight of 92 kgs, 5' 11", and a waist size of 40 inches (slightly obese). No Diabetes, BP, or any other lifestyle diseases. Slightly higher levels of LDL and good HDL. I have a history of CVT and I have been on warfarin for 12 years and my PT INR levels are between 1.8 to 2. I am a vegetarian with discipline in eating at the right intervals - 8 am, 1 pm, and 6:30 pm daily. I am moderately alcoholic once a month with a couple of beers or any hot drink with a limit of 2 drinks only during gatherings or parties. I am trying to lose weight and from last month, I started doing warmup exercises in the early morning for 45 mins along with Suryanamaskars and Pranayam (for which I had taken training during my childhood. In the evening I walk for 30-40 min 2.5-3.5 km. My problem is that after started working out since one month, I feel extremely sleepy between 1:30 to 2:30 pm (after lunch and take a nap of 15 min). And again I feel extremely sleepy between 5:30 to 6:30 which is forcing me to take a nap for 15-20 min. Both the times I get into sound sleep and snore as my wife complains. Night I go to bed at 10:30 and get up at early morning 4:45 but do not snore. Is this related to any underlying health issues that I need to get tested?
Ans: There are a few issues which can be noted:
1. Please increase your night sleep time to around 7 to 8 hours.
2. Consult a dietitian to work on reducing weight.
3. There should not be any reason that you have day time snoring but not in night time. It might be linked to day time sleeping posture. However, in general people who are obese more likely to snore. You can consult a sleep medicine specialist to get this worked out.
4. Eat fruits and vegetables in the diet. Vitamin D, B12 and E supplementation for shorter duration may help you in feeling revitalised, provided you may have deficiency.

Best,
Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi

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Asked by Anonymous - Dec 12, 2025Hindi
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Hello, I am currently in Class 12 and preparing for JEE. I have not yet completed even 50% of the syllabus properly, but I aim to score around '110' marks. Could you suggest an effective strategy to achieve this? I know the target is relatively low, but I have category reservation, so it should be sufficient.
Ans: With category reservation (SC/ST/OBC), a score of 110 marks is absolutely achievable and realistic. Based on 2025 data, SC candidates qualified with approximately 60-65 percentile, and ST candidates with 45-55 percentile. Your target requires scoring just 37-40% marks, which is significantly lower than general category standards. This gives you a genuine advantage. Immediate Action Plan (December 2025 - January 2026): 4-5 Weeks. Week 1-2: High-Weightage Chapter Focus. Stop trying to complete the entire syllabus. Instead, focus exclusively on high-scoring chapters that carry maximum weightage: Physics (Modern Physics, Current Electricity, Work-Power-Energy, Rotation, Magnetism), Chemistry (Chemical Bonding, Thermodynamics, Coordination Compounds, Electrochemistry), and Maths (Integration, Differentiation, Vectors, 3D Geometry, Probability). These chapters alone can yield 80-100+ marks if practiced properly. Ignore topics you haven't studied yet. Week 2-3: Previous Year Questions (PYQs). Solve JEE Main PYQs from the last 10 years (2015-2025) for chapters you're studying. PYQs reveal question patterns and difficulty levels. Focus on understanding why answers are correct, not memorizing solutions. Week 3-4: Mock Tests & Error Analysis. Take 2-3 full-length mock tests weekly under timed conditions. This is crucial because mock tests build exam confidence, reveal time management weaknesses, and error analysis prevents repeated mistakes. Maintain an error notebook documenting every mistake—this becomes your revision guide. Week 4-5: Revision & Formula Consolidation. Create concise formula sheets for each subject. Spend 30 minutes daily reviewing formulas and key concepts. Avoid learning new topics entirely at this stage. Study Schedule (Daily): 7-8 Hours. Morning (5:00-7:30 AM): Physics concepts + 30 PYQs. Break (7:30-8:30 AM): Breakfast & rest. Mid-morning (8:30-11:00): Chemistry concepts + 20 PYQs. Lunch (11:00-1:00 PM): Full break. Afternoon (1:00-3:30 PM): Maths concepts + 30 PYQs. Evening (3:30-5:00 PM): Mock test or error review. Night (7:00-9:00 PM): Formula revision & weak area focus. Strategic Approach for 110 Marks: Attempt only confident questions and avoid negative marking by skipping difficult questions. Do easy questions first—in the exam, attempt all basic-level questions before attempting medium or hard ones. Focus on quality over quantity as 30 well-practiced questions beat 100 random questions. Master NCERT concepts as most JEE questions test NCERT concepts applied smartly. April 2026 Session Advantage. If January doesn't deliver desired results, April gives you a second chance with 3+ months to prepare. Use January as a practice attempt to identify weak areas, then focus intensively on those in February-March. Realistic Timeline: January 2026 target is 95-110 marks (achievable with focused 50% syllabus), while April 2026 target is 120-130 marks (with complete syllabus + experience). Your reservation benefit means you need only approximately 90-105 marks to qualify and secure admission to quality engineering colleges. Stop comparing yourself to general category cutoffs. Most Importantly: Consistency beats perfection. Study 6 focused hours daily rather than 12 distracted hours. Your 110-mark target is realistic—execute this plan with discipline. All the BEST for Your JEE 2026!

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Dr Dipankar

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Tech Careers and Skill Development Expert - Answered on Dec 13, 2025

Asked by Anonymous - Dec 12, 2025
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Dear Sir/Madam, I am currently a 1st year UG student studying engineering in Sairam Engineering College, But there the lack of exposure and strict academics feels so rigid and I don't like it that. It's like they don't gaf about skills but just wants us to memorize things and score a good CGPA, the only skill they want is you to memorize things and pass, there's even special class for students who don't perform well in academics and it is compulsory for them to attend or else the student and his/her parents needs to face authorities who lashes out. My question is when did engineering became something that requires good academics instead of actual learning and skill set. In sairam they provides us a coding platform in which we need to gain the required points for each semester which is ridiculous cuz most of the students here just look at the solution to code instead of actual debugging. I am passionate about engineering so I want to learn and experiment things instead of just memorizing, so I actually consider dropping out and I want to give jee a try and maybe viteee , srmjeee But i heard some people say SRM may provide exposure but not that good in placements. I may not be excellent at studies but my marks are decent. So gimme some insights about SRM and recommend me other colleges/universities which are good at exposure
Ans: First — your frustration is valid

What you are experiencing at Sairam is not engineering, it is rote-based credential production.

“When did engineering become memorizing instead of learning?”

Sadly, this shift happened decades ago in most Tier-3 private colleges in India.

About “coding platforms & points” – your observation is sharp

You are absolutely right:

Mandatory coding points → students copy solutions

Copying ≠ learning

Debugging & thinking are missing

This is pseudo-skill education — it looks modern but produces shallow engineers.

The fact that you noticed this in 1st year already puts you ahead of 80% students.

Should you DROP OUT and prepare for JEE / VITEEE / SRMJEEE?

Although VIT/SRM is better than Sairam Engineering College, but you may face the same problem. You will not face this type of problem only in some top IITs, but getting seat in those IITs will be difficult.
Instead of dropping immediately, consider:

???? Strategy:

Stay enrolled (degree security)

Reduce emotional investment in college rules

Use:

GitHub

Open-source projects

Hackathons

Internships (remote)

Hardware / software self-projects

This way:

College = formality

Learning = self-driven

Risk = minimal

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