You would need the following investigations:
Complete blood count (CBC)
Liver function tests
Thyroid function tests
Erythrocyte sedimentation rate (ESR)
Serum electrolyte level measurement
Immunoglobulin M (IgM)/immunoglobulin G (IgG) coxsackievirus B titer
IgM/IgG human herpesvirus 6 (HHV-6) titer
IgM/IgG C pneumoniae titer
Autoimmune panel
Anemia panel.
The causes of fatigue and your symptoms;
Thyroid disease
Connective tissue diseases
Chronic anemia
Neoplastic disease
Chronic infections like Epstein Barr virus
Endocrine diseases (Addison disease).
Chronic fatigue syndrome
Myasthenia Gravis.
I hope your symptoms resolve soon.
I would be happy to assist you further if you need any more information.
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