instruction: hi doctor I am 21 years old I have muscle weakness in both arms and legs since childhood I cannot climb stairs without support and I feel tired most of the day I cannot stand for long and also cannot run or walk my legs and feet always get numb I have decreased sensory sensations in both feet a few months back I was diagnosed with hypothyearoidism and vitiligo I visited a doctor last month my egg and nerve conduction study shows symmetrical sensory motor demyelinating polyneuropathy with clinical diagnosis of cidp cpu is 27 reference range 24 195 l I am on prednisolone 45 my levothyearoxine 100 mug and multivitamin for the past 17 days please guide me about my disease prognosis and any rehabilitation that might help
output: hi I have read your question with care and understand your concerns my opinion is as below you are having both myopathy and neuropathy you need to get treatment for both hypothyearoidism and vitiligo are may be signs of abnormal functioning of the pituitary gland you have to do a complete pituitary hormone profile along with thyearoid profile please also do a diabetic profile and lipid profile the further course of action can be decided based on the reports complete pituitary hormone profile along with thyearoid profile diabetic profile lipid profile revert back with the reports to a neurologist online