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If I were her mother, I'd probably want some more testing done to make sure there isn't anything else going on that is autoimmune. Especially if she continues to fairly regularly get those joint pain and fatigue problems combined with the other symptoms you mentioned. In the related conditions forum, there has recently been a discussion on thyroid conditions and the tests that are often missed in diagnosing when it is due to autoimmune antibodies.

She does seem to have enough symptoms to warrant further testing... but since she's 20 she will have to make that decision herself I guess.
 
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