Having Itchy Rashes On Arm, Wrisrt And Spreading To Hips And Thighs. Diagnosed Autoimmune Connective Tissue Disorder. What To Do?
I am Dr XXXXXXX and I will try my level best to help you.
As of the information provided you are having rash that started 3 weeks ago and complaining about fatigue. Your are diagnosed as "possible case of lupus". And list for medication you are taking are 125mcg levothyroxine, 12 mcg liothyronine, 500mg metformin, 400 mcg selenium, leapfrog 10mg, 2000 iu vitamin d3, 10 mg cetirizine, CoQ10 100 mg.
Now "fatigue or feeling of tiredness along with rash" is a sign of toxicity of selenium. Normally 55 micrograms of selenium each day is required by body, but your dosage is 400 mcg which is 8 times higher then normal requirement and its a major cause of your symptoms.
The 400 mcg is usual dose given, as body normally do not absorb all of it, but its seems that your body is absorbing more then other people.
Advice-
1) Stop taking Selenium supplements immediately.
2) Must get your serum selenium level checked for toxic amount of selenium,
3) Consult you primary care physician and bring this to his/her notice.
Hope it helps, feel free to contact me for any other clarifications/concerns.
Thanks for the query
Dr XXXXXXX XXXXXXX