Hello,
You will need to do some tests to check why you have this
tiredness and sleepiness. Basic metabolic profile (sugar levels, kidney function, liver function, etc), TSH (
thyroid function), electrolytes, CBC, ERS,
cortisone levels,
testosterone blood level, are the most likely tests that are needed.
If the tests are normal, then you can get local treatment for acne (or
rosacea, another condition that causes acne in the elderly). Azelaic acid or retinol can be tried to help with this.
I hope this answers your query and is helpful to you. Let me know if I may assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician