<s>[INST] 30 year old female, 380 lbs, 5 5 ,...having tingly hands, sore arms, sore breasts, no period, swelling of legs and feet, tired a lot. No other issues in past other than gallbladder removed in 2009. On Paroxitine, changed birthcontrol 6 months ago, stopped taking it a month and a half ago. [/INST] Hello, Your symptoms are suggestive of a metabolic disorder. I would recommend consulting with your attending physician for a physical exam and some tests:- Complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- Blood electrolytes- PCR and ESR for inflammation- Kidney and liver function tests-Vitamin B12 and vitamin D plasma levels should discuss with your doctor on the above tests. Hope I have answered your question. Let me know if I can assist you further.  </s>