I'm always tired.i get this feeling in my arms and hands.i get pinching in my chest sometimes i used to be always energetic please help!

Me, Lethargic!: Good day; Start with family doctor (internist) to rule out any type of physical disease. I believe your state of being is predominantly mental since you say you mostly feel sluggish and tired. Possibly speaking with your clergy, a psychologist or even a wise close friend or relative may help you focus on the problem and explore possible solutions.