Conversation: The conversation between human and AI assistant.
[|Human|] Hi, for many years I have been diagnosed with MS until recently. The neurologists says it s not ms, but some other kind of connective tissue disease. My c4 levels are low 19, my thyroperoxidaise level is 843, I have a small amount of immature granulocytes .07. I am extremely fatigued, hands arms, legs are very weak. I take levothyroxine and high cholesterol. My bad cholesterol is 196, my weight fluctuates 20 lbs up and down. I am having difficulty sleeping but yet extremely tired. Any suggestions?
[|AI|]  Hello! Welcome on Chat Doctor ! I would like to review your brain MRI findings for a more professional opinion. You should know that MS is an autoimmune disorder, which may coexist with other autoimmune disorders like thyroid dysfunction and connective tissue disorders. Have you performed a spinal tap to check for the presence of oligoclonal bands? This would be another step in the diagnosis of MS. From the other hand, I would also recommend performing a cervical and thoracic spine MRI study to be sure of MS diagnosis. Steroid treatment may be needed considering your connective tissue disorder. A follow-up with brain MRI to study the progression of those lesions is necessary too, before starting treatment for MS. Hope you will find this answer helpful! Kind regards,