Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to your symptoms:

- a chronic inflammatory disorder
- a chronic infection
- lymphoma
- a metabolic disorder
- a sweat gland disorder.

For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests:

- a chest X ray study
- an abdominal ultrasound
- complete blood count
- blood electrolytes
- kidney and liver function tests
- fasting glucose and HbA1C for diabetes
- PCR and sedimentation rate for inflammation
- thyroid hormone levels for possible thyroid dysfunction.

Further tests may be needed to establish the possible causes.

You should discuss with your doctor on the above tests.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

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