<s>[INST] hi...dr...i m 22 year-old and having g6pd. before that my health was good enough for me to attain any activities. but now i m easier to feel fatigue and my hand keeps shaking. besides, my back started to get pain and love to sleep recently... dr... wat is my problem now? [/INST] Dear friend,see there is no such permanent treatment for G6PD deficiency.only you have to know that some drugs or medicines are to be totally avoided.if you take this medicines then your blood cells will be broken in a very faster rate and you will be anemic.in fact,from my day to day clinical practice I have realized that the symptoms you experincing are all because of low blood cells in your body.try to take rest,concentrate on nutritious food and take hematinic to increase bloood cell in your body.in this way you will regain your body strength,overcome fatigue and your hands will stop shaking.to decrease your back pain you should go for some back strengthening exercise like flexion exercise of vertebral column.i sincerely believe it will decrease your back pain a lot.my best wishes for your health.thank you. </s>