instruction: hello doctor I am years old and weighs about 86 keg my whole body hurts I got pain all over the body pain in legs and hands pain is persistent all the time mostly in the lower feet and hand I am having pain for the past three months I just had an appointment with my doctor he ordered some blood work and told me everything is fine and he told me to see the rheumatologist once for my peace of mind I have attached my report do you see anything abnormal in my blood report what is the cause of my body pain is anything wrong with my body do I have any underlying conditions such as leukemia lymphoma or any other cancer do I have any liver disease or thyearoid disease that can lead me to pain before three months I did a blood test and my rheumatoid factor was 1 iu my and now it is iu my why it is going up with a short duration of time what do I need to do I am eating healthy and getting good sleep but I am not losing weight my vitamin level is 40ng my and I am taking vitamin b12 I am taking vitamin for almost one year I taking 400 iu for five days a week please explain in detail the treatment plan
output: hello well I have gone through your history and the reports attached all the reports are normal I could not find the reports of liver function tests there but I suppose your doctor had already looked into it do not worry you do not have any cancers at the current time if any cancer would cause pain it surely would have affected your blood counts as well as for rheumatoid factor or can be lab variation or instrument variation but as long as you do not have joint swellings or pain it is insignificant my diagnosis for pain would go for fibromyalgia it is more of a diagnosis of exclusion and one only considers it after ruling out the other causes which they have done so far I will give you a link you can go through it and let me know if your symptoms match this as treatment will depend on your being convinced about the diagnosis I hope this helps fibromyalgia