Conversation: The conversation between human and AI assistant.
[|Human|] I feel weak when I wake up in the morning and experience low temperature- around 97 degree F.I get pangs of hunger. I had a blood test done recently. Diabetes and Thyroid are ruled out. My haemoglobin is 11.9. Lympocytes is 44%, Neutrophil (stab) is 0% Neutrophil (segm) is 52% Platelet count 2,20,000 Total R.B.C is 4.4 milliom/cumm P.C.V is 35% I have been suffering from Cervical Spinal Stenosis for the past 3 months and was under medication of pain killers and muscle relaxants. I was advised surgery but Osteopathy treatment improved my condition.
[|AI|]  Hi, Sometimes screening blood work for thyroid disease is not entirely accurate since most primary doctors will only check a TSH to detect an abnormal state.  In your case, since it appears as if low metabolic function may be to blame for your symptoms I would recommend expanding the blood work a bit to include several other thyroid tests such as a FREE T4, Total T3 and Free T3.  I might even check a random cortisol and also look at your vitamin D, B12, and folate levels due to the very mild anemia which may or may not be relevant to the rest of your symptoms. Hope I have answered your query. Let me know if I can assist you further.