Question: My RNP anti-bodies is consistently 1.5 with thryoglobulin AB at 4 on an irregular basis. ANA screens are always negative as is RHEUMATOID FACTORs. I am diagnosed Fibromyalgia and have chronic pain in my neck, back , hips, right shoulder and elbow, all finger joints and currently front of both ankles. I have had an allergy screening which produced several seasonal allergies to trees and some food allergies such as egg whites and milk which is not a concern to me since I do not use either one. I have tested with low vitamin d rates and take a supplement for that, I just recently tested low Vitamin B w/ folic acid and take a supplement for that also. I am concerned that there is an underlying problem that is not being found that is progressively getting worse. I have seen several different doctors throughout my lifetime as i have been dealing with this issue since 13 - 14years of age. I have low blood pressure 110/65 approx that does not bother me, anything higher or lower will cause dizziness, lethargy, etc. I get constant migraines that have seemed to go away with the allergy tablet I have been given but have just started to reoccur. I am a Type-A personality with hyperactivity issues and do not like to be tied down due to illness. I spent 2016 and 2017 in a recliner due to chronic pain, chronic fatigue, severe migraines, lethargy, edema, severe joint pain, microbial infections, microbial infections and fungal infections. I was treated for H. pylori Ag in XXXXXXX of 2016. I took it upon myself to see a nutritionist and had my hormone levels checked and have been taking HRT injections since 2017. I have been able to get outside this summer with the help of allergy medications (hydroxyzine 25mg) and pain management medication (Tramadol 100mg twice daily & Tapentadol 50mg 1x daily at night) along with Gabapentin 400mg 3x daily. I am NSAID allergic and cannot take Ibuprofen, aspirin or any other OTC medications that I had used for years until 2017. I also just started physical therapy to assist with the pain management process. I am extremely frustrated as I have just had a great summer with the ability to be outside, lost weight and regained muscle & bone mass and I am afraid that I will once again get sick and not be able to get around. I have tracked my symptoms and they always seem to start in September and run through March. I also have anxiety issues, diagnosed OPD and SAD. I'm at my wits end....please help - what can be going on?