Conversation: The conversation between human and AI assistant.
[|Human|] I have chronic arthritis and migraines. Lately, I have been getting tingling in my left outer thigh, sometimes tingling in left shoulder and on my head. I am very fatigue and forgetful. I have been loosing my balance but not too bad. I exercise at least 4-5 times a week. I have been tested for lupus, diabetes, and ct scan on brain for tumors, bleed and clot. And all is clear
[|AI|]  Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be caused by possible neuropathy or a metabolic disorder (electrolyte imbalance, thyroid hormone imbalance, etc.). A cervical intervertebral disc bulging, causing compression of the nerve roots, can not be excluded either. That is why I would recommend consulting with your GP for a physical exam and some tests: - a cervical spine MRI study- a nerve conduction study-blood electrolytes - thyroid hormone levels-vitamin B12 level. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards,