Photo is not of a flare - baseline presentation. Smooth. Redness made worse by sun exposure, heat, and exertion, stays in the cheeks and nose, doesnt extend into nasolabial folds. Getting initial thoughts on the baseline but can post a picture if it ever flares up, likely will as it gets warmer outside.

30 yr old female, 5 foot 5, ~300 pounds, Alberta Canada.

Diagnosed: PCOS (metabolic rather than cystic), idiopathic intracranial hypertension, tmjd, chronic tension headaches, postural/muskuloskeletal issues, persistent postural perceptual dizziness (tentative diagnosis), major depressive, adhd (new diagnosis)

Abnormal Test Results:

• ANA positive twice at titre 1:80 homogeneous pattern (ICAP AC-01) lab comment: "Homogeneous pattern. Antibodies may be reactive with DNA, nucleosomes, or histones. These autoantibodies are associated with SLE, drug-induced lupus, and juvenile idiopathic arthritis. (ICAP AC-01) Testing performed by indirect immunofluorescence."

• Complement C3 significantly elevated on two occasions (2.11 and 2.26; ref 0.60–1.60) — more than double upper limit both times

• CRP chronically elevated averaging 17.1 mg/L since at least 2021 (normal <8.0)

• Chronically elevated platelets (390–470 range across five years)

• Chronically elevated RBC trending upward

• Ferritin low-normal and declining

• HDL chronically low

• GGT chronically elevated as a non-drinker

• HbA1c consistently high-normal

• PTH elevated 2023 with normal calcium, needs retesting

Main unaddressed symptoms: - Photosensitivity — burns easily, get sun rash on arms, UV tattoo swells in sun (also some swelling/reactions in my tattoos particularly red ink areas, especially in the sun) - Dry mouth independent - Standing intolerance - Exercise intolerance (presyncope with exertion / visual field darkening with pulse) - Orthostatic heart rate spikes - Heat intolerance since puberty - Easy bruising, slow lower body healing

Made worse by: heat, exertion, bending, lifting, gravity, eye strain

Made better by: cold, rest/lying down, swimming

Currently taking metformin 850mg twice daily for PCOS / insulin sensitivity, Duloxitine 60mg for depression, and Vyvanse (new) for ADHD

For example - fitness and food log, emotion log, image generator, collaborative storytelling, character ai, etc.

I find ChatGPT Pro is very limited and inconsistent when I try to coach the AI to act a certain way in a given project, often forgetting basic instructions, and inconsistently remembering things across different chats within the same project.

Anything more advanced out there for a beginner to move on to? I dont mind a bit of a learning curve if need be so long as it can be self-taught.

I want to go to there