<s>[INST] I am a 37 yo f. I have had an elevated wbc for a few years now between 9 and 16. My body temp is lower never over 97.6. I have gained 50lbs in 5 yrs. 25 in the last year with diet and exercise. I have reoccurring swollen lymph nodes on my right side only of neck and jaw. I have Jaw pain and headaches. chronic severe stiff sore neck pain. I have daily fatigue and sore stiff muscles. My hair has been falling out more than usual and my skin stays extra dry on my legs. My recent thyroid came bath normal as usual and all of hormone levels were within normal range. [/INST] Hi, Regarding the weight gain, hair fall and skin Chat Doctor.  Sometimes if the thyroid function is normal then they might want to evaluate for other endocrine problems. Regarding the slightly high WBC level, what matters is whether these are normal ABCs. The differential WBC count and peripheral smear examination should be able to answer that question most of the time. The jaw pain, headaches and neck soreness has to be evaluated by a family physician. If he/she suspects any problem then they will refer you to the appropriate specialist. The swollen neck nodes are a concern and again, a family physician needs to examine you to find out if they need any further evaluation. Regards. </s>