Feel Sharp · Tiredness & focus

Fatigue & Weakness Check

Tired by the middle of the afternoon, even after a full night’s sleep?

Tired by the middle of the afternoon, even after a full night's sleep? Hair falling more than it used to, legs heavy on the stairs, a mind that will not settle on one task? Most people put it down to work or age and reach for a multivitamin or an iron capsule. In Pakistan, four common and fixable things sit behind that feeling far more often than people expect: low vitamin D, low iron stores, low vitamin B12 and a slow thyroid. This check looks for all four, and for anaemia, from one blood sample taken at your home in Lahore.

They are worth testing together because they feel the same. Each one shows up as tiredness, weakness, low mood and poor concentration, and more than one is often low at the same time. They are also common: in Pakistan's National Nutrition Survey 2018, 79.7% of women of reproductive age were short of vitamin D, 41.7% were anaemic and 20.3% were short of vitamin B12. Guessing which one is low and treating it with a tablet from the medical store usually means treating the wrong one, or the right one at the wrong dose.

Your report is usually ready the same day. A PMC verified General Physician then goes through the five results with you, online or at a clinic, whichever suits you. The doctor tells you which result explains how you feel, what to take, at what dose and for how long, and when to test again so you know the treatment has worked. If everything is normal, that is useful too: it rules out the commonest causes and moves the conversation to the next question, such as sleep, blood sugar or mood.

اگر آپ پوری نیند کے بعد بھی تھکے رہتے ہیں، بال زیادہ گر رہے ہیں، یا کام پر دھیان نہیں لگتا، تو اس کی وجہ اکثر وٹامن ڈی، آئرن یا وٹامن بی 12 کی کمی، یا تھائیرائیڈ کا سست ہونا ہوتی ہے۔ یہ سب ایک جیسی تھکاوٹ پیدا کرتے ہیں، اس لیے اندازے سے گولی کھانے کے بجائے ٹیسٹ کروانا بہتر ہے۔ اس چیک اپ میں یہ چاروں اور خون کی کمی ایک ہی نمونے سے دیکھے جاتے ہیں۔ نمونہ لاہور میں گھر سے لیا جاتا ہے اور مرہم کا جنرل فزیشن آن لائن یا کلینک پر رپورٹ سمجھا کر بتاتا ہے کہ کس چیز کی کمی ہے اور اس کا علاج کیسے کرنا ہے۔

Updated 28 September 2026

What’s tested, and why

25-OH Vitamin - D3
Complete Blood Examination (CBC)
Serum Ferritin
About this test
TSH
About this test
Vitamin B-12 (Serum)
About this test

General Physician consultation, included — Online Video Consultation

Our team calls to arrange it once your reports are ready.

Five tests from one blood sample, plus the doctor who reads them together.

25-OH Vitamin D3: the one most often low. A shortage causes tiredness, aching muscles and low mood, and it is the commonest deficiency in Pakistan. It is the result most worth knowing before you start a supplement, because the dose depends on how low you are.
Serum Ferritin: your iron stores. Ferritin falls months before haemoglobin does, so it catches iron deficiency that a blood count alone would miss. Low ferritin is a common cause of tiredness and hair fall, especially in women.
Complete Blood Examination (CBC): checks for anaemia and, from the size of your red cells, helps tell an iron problem from a B12 one. It also shows signs of infection, which matters because an infection can make ferritin read falsely normal.
Vitamin B-12 (Serum): a shortage causes tiredness, pins and needles, poor memory and low mood. It is more likely if you eat little meat, or have taken metformin or acidity tablets for a long time.
TSH: the first test for an underactive thyroid, which slows everything down: energy, weight, bowels, periods and mood. A normal TSH makes a thyroid cause unlikely.
General Physician consultation, included: a PMC verified Marham doctor reads all five together and tells you what is low, what to take, at what dose and when to retest. You can take it online or at a clinic. It is part of the package, not an add on.

What this cannot do. It does not check blood sugar, so it cannot tell you whether tiredness after meals comes from rising sugar; for that, see the Sugar & Diabetes Check. It does not include free T3, free T4 or thyroid antibodies. It is not a sleep study, and it cannot diagnose depression or chronic fatigue syndrome. One result out of range confirms nothing on its own; your doctor reads it with your symptoms.

If something needs following up, your doctor orders only what is needed, charged separately: free thyroid tests, full iron studies, HbA1c or a specialist referral.

Feel Sharp. Stay Sharp.

The doctor tells you which result explains how you feel, what to take, and when to test again so you know the treatment has worked.

If everything is normal, that is useful too: it rules out the commonest causes and moves the conversation to the next question, such as sleep, blood sugar or mood.

Not just a report. An answer.

Before your test

No fasting needed. None of these five tests needs a fast. Eat and drink normally; water is always fine.
Stop biotin 48 to 72 hours before the sample. Biotin is in many hair, skin and nail supplements and can give a false thyroid and B12 result.
Tell us about any B12 injection, tablet or syrup, and any vitamin D injection, with the date. These keep the level looking normal for weeks or months, so the report can hide a real shortage. If you have not started them yet, test first.
Mention iron capsules such as Sangobion if you already take them. They raise ferritin, so the result shows your treated level, not where you started.
Do not stop any prescribed medicine for this test. Tell the doctor what you take instead.
Postpone the test if you have a fever or an infection. Ferritin rises during any illness and can read falsely normal.
Mention if you are pregnant, since the normal ranges for thyroid and iron are different then.
Not for under 18s. For a tired child, book a Pediatrician consultation first.
Have this ready for the consultation: how long you have felt this way, how you sleep, your periods if relevant, what you eat, and every medicine and supplement you take.

Questions people ask

Fatigue meaning in Urdu: what is it, and which test should I get for it?

Fatigue کا مطلب ہے ایسی تھکاوٹ اور کمزوری جو آرام یا نیند کے بعد بھی ختم نہ ہو۔ ہمارے ہاں اس کی سب سے عام وجوہات وٹامن ڈی کی کمی، آئرن کی کمی، وٹامن بی 12 کی کمی اور تھائیرائیڈ کا سست ہونا ہیں۔ ان سب کی علامات ایک جیسی ہوتی ہیں، اس لیے کسی ایک ٹیسٹ سے پوری تصویر نہیں ملتی۔ یہ چیک اپ پانچوں ٹیسٹ (وٹامن ڈی، فیریٹن، سی بی سی، بی 12 اور ٹی ایس ایچ) ایک ہی نمونے سے کرتا ہے، اور ڈاکٹر بتاتا ہے کہ اصل وجہ کون سی ہے۔ مزید پڑھیں: Fatigue meaning in Urdu

What are Sangobion capsule uses, and should I take it for tiredness?

Sangobion is an iron capsule. It helps only when tiredness comes from low iron. If the cause is low vitamin D, low B12 or the thyroid, months of Sangobion will not fix it. Starting it before a test also raises your ferritin, so the doctor can no longer see how low you were or how long to treat. Too much iron can cause constipation and stomach upset. Test first, then take it at the dose your doctor gives you.

What is the meaning of anemia in Urdu, and is all tiredness caused by anemia?

Anemia means khoon ki kami (خون کی کمی), a low haemoglobin level in the blood. It is a common cause of tiredness, but not the only one. Many people have a normal haemoglobin while their iron stores (ferritin) are already empty, or their vitamin D and B12 are low. That is why this check tests ferritin, vitamin D, B12 and thyroid as well as the CBC

Should I book this, the Body Aches & Tingling Check or the Brain Fog & Focus Check?

Start here if tiredness or weakness is the main complaint. This check covers the five commonest causes at the lowest price. The Body Aches & Tingling Check tests only vitamin D and B12, both already included here, so there is no need to book both. The Brain Fog & Focus Check goes deeper into thyroid and nerve markers and suits you better if poor memory and concentration are the main problem rather than physical tiredness.

Why does this cost more than booking the five tests on their own?

Because it includes a General Physician consultation worth Rs. 1,000, online or at a clinic. The five tests themselves cost less here than they do separately. The doctor reads all five results together, tells you which one explains your tiredness, what dose to take and for how long, and when to retest. Most people who self treat tiredness take the wrong supplement or stop too soon; the consultation is what prevents that.