Conversation: The conversation between human and AI assistant.
[|Human|] I am 47 with hypothyroid for 27 yrs.. Also metabolic syndrome and take metformin, Xanax for anxiety. Recently diagnosed with fybro and can t tolerate any of he meds for it... All over pain and joints. Terrible fatigue.. And leg pain. Rheumatologist ordered test that I am slowly getting results. Really want to know what they all mean.. ANA titer was high.. 320, ch50 was over 60 and drrvt was 30 flagged low. I am waiting on one more test result.. Are these looking at lupus? Or results from autoimmune from thyroid? The pain is unbearable at times. Worst during menses and when over exertion. Have a terrible time falling asleep and pain wakes me up every night. I m a mom of a little girl who was born with type 1 diabetes and she needs a mom who can function to care for her. Any help? Thanks
[|AI|]  Trust your rheumatologist, disclose all your detailed history of symptoms. After tests results final evaluation will be apparent if any autoimmune process, rheumatoid or fibromyalgia issues. There are many medications for all above diseases processes and substitutes for Xanax. Metformin is oral hypoglycemic and depending on blood sugar status can be modified in dosing or substituted plus other deistic and supportive measures may be advised. Physical therapy offers good respite from joint, muscles aches symptoms.