Fatigue

Itchy skin

• Occurs or worsens at night

• At palms and soles

High levels of fats in blood

Yellow eyes or skin

or Dark urine

or Poop with light color

Easily get bone fractures

Enlarged feet or ankle

or Swollen belly

or Swelling in lower leg

Skin hyperpigmentation

Yellow papule(s) or nodule(s) on the skin

Abdominal pain

• In the upper right region, Located in middle upper region

Skin rash and redness

• At chest, At back, At abdomen, At upper extremity except hand, At legs not feet

• Painless

• At face, At neck, At scalp, At hands, At feet

or Swollen blood vessels on the skin that looks like a spiders web

• Over upper body

Weight loss

or Loss of muscle mass

or Poor appetite

Diarrhea

• Steatorrhea

Sjogren's syndrome

Any thyroid disease

or Hashimoto thyroiditis

or Thick and hard skin

or Rheumatoid arthritis