###Human: What is causing muscle pain with tiredness? ###Assistant: Hello. Hypothyroidism itself causes generalized weakness or other possibilities like anemia or electrolyte imbalance or infection or chronic fatigue syndrome, etc., may present like this. Until examination is done it is difficult to say what it is. Take green leafy vegetables and fruits. Use tablet Evion LC twice a day for five days. If symptoms are not improved, please consult your doctor. He will examine and treat you accordingly. Take care.