Q- Help with case - autoimmune?

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Hi Everyone,I just saw a 58 yo woman who presented with a concern of her high cholesterol and high BP. But she also has the following history, although it is somewhat incomplete and random because we ran out of time. She ended up crying about a previous verbally abusive relationship. Had colon cancer 5 yrs ago, is cancer free but has never felt like herself since the chemo. She gained 35 pounds and feels like the chemo is still in system. She used to be very active, although she's struggled with fatigue her whole life. But now when she exercises, she wants to lie down after. This really bothers her. Has had symptoms of lupus since her 20s : trouble with joints since 20’s, sensitive to light and sun, get huge rash

when out in sun, big red blotches. Long history of fatigue, prior to the chemo. (as a kid her mom gave her geratol because she was always tired). has had butterfly rash since birth. For the 15th time went to Rheumatologist last year who said it wasnt Lupus, test was negative. one of the AI markers came back positive, doesnt know which one. She had TTP. Her GB has been out since her 30s. In 20’s, had pain in hips, walked with a cane for a couple of years. She went to specialist, told had degenerative arthritis in hips and would spend life in wheelchair. Went on Pritikin diet and it resolved. She occasionally has pain in hips which feels like drilling in them.In 30’s had IBS, migraines, felt was crazy from all of this. She was treated by some kind of holistic doctor years ago, went on restricted diet for months, h/a’s went away, and IBS went away, lost a lot of

weight. Now eat everything, digestion is fine. Once in awhile will get "the runs", and then she eats binding foods and its fine. Now she occasionally (once every 2 months) gets migraines - get aura, vomiting, hearing is sensitive, vision is affected, etc. Sleep - very interrupted. Cannot stay alseep. She must eat every couple of hours and if she doesnt eat a snack after dinner, she will wake up. At 8 yo, her father died suddenly of CO poisoning on the job. Her mother was stressed out when she was pregnant, living in a strange apartment. Her mother also had AI symptoms. Her first marriage was abusive, verbally and psychologically. She gets sad and stressed about her health and about her past relationship, although she is now married to another man (also my patient) who is wonderful to her.I have some ideas but i would love some

input.thanks everyone,Alia Elias, ND, LAc.Newburyport, MA