Conversation: The conversation between human and AI assistant.
[|Human|] Yes I m Morbidly Obese 400 I m having severe charlie horse like knotting from my lower back down to me feet I also have facial hair , thinning on the crown of my head and my periods go for 3-5 months at a time and then it stops for a week or 2 and I pass large blood clots the size of a chicken strip . Most Dr. when I go don t want to exam me because of my size. I need Help.
[|AI|]  Hello, I have studied your case with diligence. There can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, IT B12.so supplements of these nutrients can relieve back pain and leg pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis. MRI spine will help to see for any nerve compression. And also check your it B12 and it D3 level. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. And weight reduction will help you. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.