Hello sir,I am 40 yrs and fat for last thirty years with current weight of 120 kg. I am having type fatty liver with prostatomegaly, mild splenomegaly, ultrasound test results slightly coarse liver parenchyma as well. AST 45 and ALT 32 and rest all LFTs, RFTs, serum creatinine in normal safe range, Endoscopy for liver duct resulting no biopsy need, but anemia confirmed and taking methycobol (2 tablets daily) and trihemic( 1 tablet daily). CRP negative, ESR between 70-90, blood sugar normal, platelets clumped together and found 50k to 75k in routine CBC. what may be the cause of fatigue, low platelets and anemia sir? Pl advise .