I am a 49-year-old woman who is experiencing a few symptoms pointing towards what I m not sure. I have experienced changes in my voice, very painful acid reflux, unintentional weight loss, sore throat, and difficulty swallowing at times. My medical issues include HIV infection hypothyroidism and depression and anxiety. I am currently on medications for the HIV the hypothyroid and the depression and anxiety. I am currently undetectable as far as a viral load with T cells over 1000.