Conversation: The conversation between human and AI assistant.
[|Human|] I have fatigue short of breath leg pain headaches. My labs are tsh 6.60 PTH 47 T4 1.16 B12 484 RF quantative greater then 20, HGB 11 HCT 33.8. Should I be concerned and either be on thyroid and or need transfusion at which time. Also should I be concerned for arthritis
[|AI|]  Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. No need to worry much for your thyroid report but you should definitely concern about RF report.  Your RF report is significantly high. So possibility of rheumatoid arthritis is more. Your symptoms like shortness of breath, leg pain and headache can be seen in Rheumatoid Arthritis. So better to get done CCP antibodies.  It is never and more specific diagnostic test for rheumatoid arthritis. If this is positive then you are mostly having Rheumatoid arthritis and may need treatment.