I m a 36 year old female. Ok I have a multitude of symptoms. It all started about 3 months ago with hot flashes. Then dry skin, acne, dry hair, hair loss, headaches, joint pain in my elbows, wrist, and knees. Muscle pain in my arms, hands, and fingers. It s hard to grip anything in my right hand. Also lower back pain, fatigue, and insomnia. Do you have any idea what might be going on?