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I have tested + for low levels of RF and ANA but negitive for C-reactive protiene These are my symptoms. I don't have a rheumitologist or other specialist. Just wondering what I should be trying for test wise and referrals next with my GP.
joint pain, most joints, hips, wrists, elbow, knees, shoulders, fingers, worse in the AM
sweaty feet and hands
either too hot or too cold
extra weight in mid section and double chin
difficulty swallowing over a “lump” in throat
Dizzy when I bend over
Wake up in the night in cold sweats
large ganglion cyst removed from wrist
currently on cytomel 25mg, and 30mg of synthroid, but last set of labs came back wonky, TSH A0.09 range0.32-5.04mU/L
T4 Free A7.3 range10.6-19.7pmol/L
T3 Free 4.16 range 3.00-5.90pmol/L
Prolactin low A 3.1 range 4.2-28.2 ug/L
AM cortisol high side of normal- 498 range 125-536 nmol/ doctor isn’t willing to test cortisol further at this time.
ANA is 1:80 speckled pattern
RF is 12 range <12 is a flag
C Reactive Protein (High Sensitivity) 1.6
-ultrasound of thyroid showed small lump, less than 1cm, repeat after a year shows no change.
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