?

Patient : 30yr old female, extremely cold hands and feet, night sweats, bouncing BP high to low with p 156 or higher, painful IL regular periods, swollen stiff joints, with hard bony knot on right knee cap for 2mths now but doesn't hurt, puffy eyelids on and off, neck feels tight sometimes, extremely tired all the time, no sex drive. Both parents have thyroid problems with lupus and dad has ms please help. Oh yeah and I've had about 25 uric acid kidney stones from the time I was 19 till now
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