Conversation: The conversation between human and AI assistant.
[|Human|] I ve had Fibromyalgia for about 25 years now and am doing so bad it s scary. I ve changed my diet over the years and eat really well, vegetarian, no nightshades, all organics, well balanced. I meditate and do Yoga and started pool therapy but I become a wreck, even when I take it easy. My mind is going. Memory loss and confusion and balance is awful. About 4 years ago I had a fall and got Complex Regional Pain Syndrome to go with it. My chronic sinusitis has become unbearable with roaring in my ears and insane sinusitis. At 58, I m getting scared my mind days are numbered. Sincerely, R. Jane Gagner
[|AI|]  Hello, I understand your concern and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to memory problems (dementia, depression, etc.). For this reason, I would recommend consulting with a neurologist and performing cognitive tests and a brain MRI. Some blood lab tests (complete blood count, thyroid hormone levels, vitamin B12 or vitamin D plasma levels) are necessary to investigate for possible metabolic conditions that may mimic this clinical situation. In the meantime, I would recommend discussing with your doctor on the possibility of starting duloxetine therapy.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.