I'm a 34 year old latina who has high keytones since being a teen now as an adult i get very low bp(90-96/60 pulse 90-104) high pulse when i have bottoming out spells most times eating something sweet helps but i also have multiple vitamin deficiency (slight but all of them)chronic fatigue
If you know that you have vitamin deficiencies, you have most likely had your blood drawn. On the lab report there should be a record of you blood sugar. If you are having periods of weakness, it sounds more like you are experiencing low blood sugar, or low blood pressure. I would recommend that you see your doctor again and describe the "bottoming out" spells. Through physical exam and blood tests, you doctor may be able to help you diagnose what is causing your fatigue.
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