### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I was just looking for my physician s card to call him because I am so miserable. When I found it I saw that I had written down my symptoms on the back of the card for my appt which was 2-18-10! So I know this has been going on well over a year. Every day, at approx Noon & 6:00pm I am racked with horrible chills - like ice water running thru my veins. It doesn t sound like a big deal I guess but it still catches me by surprise & it s always the same time when I look at the clock. I m thinking that it might give a clue as to what is wrong with me but nobody seems to know what that is. I have 1 other symptom that does not go away. I am 60 yr old woman & I hoped as I got older that the problem of night sweats would decrease....they started around 12 years ago & to be honest they have gotten progressively worse. My Dr does not think it is related to menapause for this reason. Every single night it s the same thing...I wake every 2-3 hrs completely soaked. Bed is wet, pillow is wet, I feel miserable. I am on thyroid medicine as I had 1 lobe removed 9 years ago. The dosage was high but has been dropped over the years. Now I take 100mcg along with cytomel. Just 3 years ago I was taking 175mcg with cytomel. Anyway, all the blood work shows my thyroid levels are fine. I just can t understand how I could feel so terrible & have such perfect bloodwork. Finally, to make my life totally miserable I have gained around 15 lbs in the last 3 months. Up till that time my weight was always fairly consistent. Any suggestions you might have would be greatly appreciated. Isn t it possible that although my levels appear to be in the normal range that it might not be normal for me? Help!

### output:

HelloWelcome to Chat Doctor. Chills, weight gain, night sweats are all symptoms related to hypothyroidism/menopause. Dose of cytosol can be changed according to your clinical symptoms even though your blood work up comes to be normal. You need to talk with your endocrinologist in that regard. Also get your fasting blood glucose done. Are you on any other medications that may affect metabolism of thyroid Chat Doctor? 