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MS

Female 49 diagnosed w/possible MS.  Sx yr+ incl: abnormal reflexes/extreme fatigue/Uthoff
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An elevated ANA (this level does not exclude MS) can be seen in both MS and Lupus. However it is also a marker of other inflammatory conditions in the body. You have already had Hashimoto's which means you are at increased risk for other auto-immune disorders. Having the ANA checked again would be reasonable. The CSF analysis will help to evaluate for specific markers of MS. Good luck
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