<s>[INST] Hello doctor, My age is 25 years. My height is 5'10" and I weight 78 kg. I am suffering from muscle twitches and extreme muscle weakness and muscle pain from last one month. I went to a neurologist and he says reflexes are normal and asked me not to worry and he put me on tablet Remylin-D. I am currently having that tablet, but no improvement is seen. I am very weak, my heart palpitates by lightest exertion. I have a history of masturbation from adolescence and having excessive nightfall problem. One more symptom is that I have not developed significant moustache and beard. My MRI brain, EEG, sugar, blood pressure, sonography of stomach are all normal. Is it due to testosterone hormone deficiency? (I searched it on internet and found that) Is it due to over masturbation? What may be the reason of my muscle weakness which no doctor is able to diagnose? I have no energy left and I am not able to think what to do as it is seriously affecting my life. Sometimes suicidal thoughts come in my mind due to my problem.Kindly help. [/INST] Hi. Based on your query, my opinion is as follows: Revert back with the reports to a general practitioner online for further follow up --> </s>