instruction: hi doctor I have done a blood test before months and was diagnosed with celiac disease I already have thyearoid problem which is controlled right now with thyearoxine the issue is followed by a gluten free diet I cannot see any progress I am still losing weight my skin is pale and dry I also have abdominal pain cramps vomiting and constipation I am currently taking thyearoxine 150 uq movicol multivitamin and vitamin when I first did the blood test my ana result was positive titer of 1280 and he suspected fatty liver now when I repeated it the result remains the same my doctor is away and I cannot reach him do I need to worry
output: hi your issues are found as a consequence of thyearoid disease and celiac disease this is how the natural course of the disease is