<s>[INST] I am a woman of 49 years of age and went thru an acupuncture session with disastrous consequences. It triggered a severe autoimmune reaction in the body where the anti tpo levels were beyond 0000. It totally hampered my metabolism and i lost 17 kgs, hair balding, dry skin, teeth loss and shrivelled face. But every time the t3,t4 and tsh are normal.  Doctors found vit d levels low and replenished it . for last 3 years have beeen on it and now at least mentally better. but digestion and bowel movement is horrible despite trying everything. what shud i do?  do u think thyroid medication might help me to regain digetion and the full look i had prior to the acupuncture?  Please help [/INST] **1. as you are on vitamin D therapy for last 3 years, make sure your calcium levels are not increased resulting in poor appetite (digestion/bowel)2. go for lab investigations first and then consult with your attending physician regarding further line of treatment. </s>