This is Dr. David
how low are your counts? do you have your blood work report.
have you had blood test to check thyroid hormone levels, iron, ferritin levels?
you need testing to check for your estrogen levels.
do you snore at night when you sleep? this can lead to sleep apnea and fatigue.
sore knuckles can be from arthritis or gout. blood test for uric acid levels can check for gout.
birth control pills can help irregular periods.
are you exercising to help with energy? it could help
viral infections can cause night sweats as well. mononucleosis can cause fatigue and sweats. this can be checked for with blood tests.
let me know if you have questions.