<s>[INST] Have had blood tests and xrays and so far the only thing that shows up is spondylosis. Extreme tiredness during the day and falling asleep, and wide awake at night. One leg and foot swelling....hair loss for several years.....aches and pains and like a biting all over the body.....arms and legs hurt and having hard time getting from laying or sitting position to standing and walking. Bottom and tops of feet hurt...RA ruled out... [/INST] Welcome to Chat Doctor I have gone through your query and understand your concern. To treat spondylosis you can glucosamine which is beneficial in lumbar spondylosis. The cause of extreme tiredness and pain can be vitamin and trace elements deficiency, so it will be useful to get vitamin tests specially vitamin D and vitamin B12. If found low you can take vitamin D3(for vitamin D deficiency) and Mecobalamin (for vitamin B12 deficiency). Calcium, vitamin and trace elements supplements are useful. For pain relief analgesic such as ibuprofen is useful. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. </s>