Conversation: The conversation between human and AI assistant.
[|Human|] Hello doc. Here are my signs and symptoms. Asymmetrical reflexes. Ankle clonus left ankle. Slight sensory variations. Muscle weakness, twitches, fatigue, lump on thyroid. EMG normal, MRI says not MS. In the process of being referred to an endocrinologist. Any thoughts as to what is wrong with me?
[|AI|]  Hello, I believe the most important thing to rule out and fix (if there is a problem) is a thyroid nodule causing Hyperthyroidism which can cause all the symptoms you mention, although we tend to think of endocrinological pathology as the cause to neurological issues in a symmetric instead of asymmetric fashion. But it can happen asymmetrically as well. I would not worry about guessing too much about things and just look at the obvious for the time being. Once, that has been properly evaluated and ad Chat Doctor.  If you are still having problems then, go to the next level of the chess board. Hope I have answered your query. Let me know if I can assist you further.