Pain in the right arm and lower limbs (below the knees)

Patient : For the past 7-8 months I am having a persistent low grade pain in my entire right arm, there is numbness and tingling in it and my fingers they twitch involuntarily at since 3 months I have similar pain in my lower limbs specifically below the knees and at times if i do some extra walking or some heavy work my right knee starts aching and that pain moves upward as well as downward. I feel difficulty moving upstairs. I feel very tired, sleepy, have a headache regularly, there is loss of concentration and keep forgetting things, feels irritable, don't feel like talking. I am on the medication for PCOD (aldactone, glyciphage 500 mg, ginette 35). I was diagnosed with lower levels of vit d and vit b12. I took medicines for vit for 3 months. My MRI report shows that i have cervical straightening. recently I am having complaint of dry eyes and relines are visible in both the eyes. My ESR levels are 44 and CRP level is 7.8. i have sugar craving as well
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