Greetings Customer (name blocked for privacy),
Your symptoms are concerning and warrant further investigation. The possible diagnoses which should be rule out include anemia, hypothyroidism, rheumatoid arthritis, systemic lupus erythematosus, polymyositis/dermatomyositis, fibromylagia. You should see your primary care physician to start the work-up that will include a thyroid hormone level, complete blood count, chemistry panel, autoimmune antibdoy panel, ANA, sedimentation rate, coagulation studies
Sincerely,
Dr.Bernon
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