<s>[INST] My arms and my legs and even parts of my back are falling asleep no matter if I am standing, sitting, or lying down. My muscles are fatigued by the smallest of work. I am also getting random spasams. This situation has progressed rapidly in the last 5 weeks. [/INST] Hi, since you mentioned you are feeling fatigue and get muscle spasms it could be related to lack of physical exercise. Usually human body reacts to the metabolism functioning of the cells. When the Cardiorespiratory endurance is low there leads to a fatigue and muscle spasm. Also, related to work profile, if its more of a sedentary lifestyle or more of an office table work. Body needs to have enough metabolic functioning as to get the output of the functions. Also, performing regular breathing exercises, meditation, body conditioning will help reduce the spasm and also the fatigue. If the symptoms are progressing then it is on a safer side to get the laboratory tests done. As it will help to see if any vitamin deficiency is leading to the symptoms and can be fulfilled by supplements. With the grace of God I wish you a good health. </s>