instruction: hello doctor I am a 39 year old female I am fatigued sluggish difficulty concentrating migraines and difficulty regulating temperature I have periodic tightness in the chest and fluttering sensation my ekg it chest and chest ray are normal and the couid test is negative my vitamin b12 folate and vitamin were low I started supplements last month and levels are in normal range now but I still have symptoms borderline low white count abs lymphocyte count and slightly high platelets I was diagnosed with lupus as a teenager but then in the early 20 I was told that I do not have it my father died at the age of 59 of a sudden catastrophic event possibly a heart attack also my dime was slightly elevated and so was my sedimentation rate I have a history of cancer in the family especially breast cancer so I am more concerned about cancer I am currently on lamictal lexapro and birth control pill
output: hi your reports are normal nothing seems worrisome since you have a family history of breast cancer you should get a mammogram done also get your bra gene breast cancer gene tests done it is a blood test and if it is positive then it means high chances of getting cancer in the future if it is negative it is good also you should take supplements and should stop birth control pills they can also cause cancer sometimes you should use a mechanical method of contraception like condoms and should do regular exercises to reduce your weight too