1. Possible Reasons for Fatigue and Palpitations

• Your HbA1c level of 8.3 suggests that your diabetes is not optimally controlled, which can lead to fatigue.
• Low hemoglobin (12.8) indicates mild anemia, which can also cause fatigue and palpitations.
• Other causes to consider include electrolyte imbalances, cardiac issues, or side effects from medications.

2. Impact of Current Medications

• Crestor (Rosuvastatin) helps manage cholesterol but is unlikely to cause fatigue.
• Glucophage (Metformin) is known to sometimes cause vitamin B12 deficiency, which can contribute to fatigue and neuropathy.
• Lipanthyl (Fenofibrate) and Magnesium Glycinate generally have minimal effects related to fatigue but should be monitored.

3. Role and Benefits of Becosules

• Becosules contains a combination of B vitamins (including B12, folic acid, thiamine) and vitamin C, which can help correct vitamin deficiencies.
• Vitamin B12 in Becosules may be particularly beneficial if Metformin-induced B12 deficiency is present.
• Folic acid and other B vitamins support red blood cell production, potentially improving your hemoglobin levels and reducing fatigue.

4. Potential Adverse Effects and Interactions

• Becosules is generally safe and well-tolerated.
• There are no significant known interactions with your current medications, but it is important to take it under medical supervision.

5. Recommendations

• Please consult your endocrinologist or diabetologist for blood tests including vitamin B12, folate, and iron studies to identify any deficiencies.
• Work on optimizing your diabetes control to help reduce symptoms like fatigue and palpitations.
• Discuss with your doctor about starting Becosules or other supplements to ensure appropriate dosing and monitoring.

If symptoms worsen or new symptoms develop, seek prompt medical attention.