Ted, I have had psoriasis since i was 16. I within the last two years have it on my hands and feet as well as nail fungus. I attribute this worsening to my recent separation and divorce from my husband (not by my choice). My hair was thinning and falling out mostly in the front of my head. I went into early menopause at 37 years old and I am now 47. I get hot flashes after eating any carbs. I exercise 4 times a week cardio and weights. I weigh 110 and i'm 5' 3" tall. I was diagnosed with osteopenia a while ago but it never progressed I was taking natural progesterone cream from the health food store. I quit taking it when my hair started to fall out and i had started to feel bad. I'm gaining weight around my mid-section and my real concern is I have this feeling that something is on the left side of my throat, I have a little difficulty swallowing no pain though and I have to cough or clear my throat often an I have a slight hoarseness in my voice which has lasted for over a month. I take glcosamin and choindroiten, coral calcium, Vit B complex, B-12, zinc magnesium, vit. a, folic acid, I take every so often flax, borage and evening primrose and fish oil. I also once in awhile use acv on my salads. I eat mostly raw salads and occasionally cooked veggies with some fish and once in a while eat some chicken etc. Could I have an enlarged thyroid? Are the things i'm taking affecting my immune system. Also for about 10 years from the age of 25 to 35 I had ulcerative colitis but I finally figured out that my diet had alot to do with that, my doctor denied it. I quit pasteurized milk and sugar and sodas. I do drink raw unadulterated milk which for some reason helps my psoriasis. What can i do for all this. Sounds like alot. Thank you. Plus what can i do to prevent the effects of antibiotics before cosmetic surgery?