Hi Supriya! welcome to HCM! Your anti-ccp test is positive that confirms your rheumatoid arthritis.Like RF, these tests are positive in only 70% of all RA cases, but are rarely positive if RA is not present, giving it a high specificity of around 95% RA primarily affects joints, however it also affects other organs in 15–25% of individualsYour doctor suggests LFT to check whether liver is involved or not as sometimes asymptomatic involvement can occur in Rheumatoid Arthritis.you must get it done its a simple test. There is no cure for RA, but treatment improves symptoms and slows the progress of the disease. Disease-modifying treatment has the best results when it is started early and aggressively.Regular exercise is recommended your sister might also be having Rheumatoid Arthritis (as in 30 per cent RF and anti-ccp are negative )or some other form of arthritis. RA typically manifests with the affected joints being swollen, painful and stiff, particularly early in the morning or following prolonged inactivity. Increased stiffness early in the morning is often a prominent feature of the disease and typically lasts for more than an hour.presence of swelling in wrist can be the rheumatoid nodule,which, is most characteristic of Rheumatoid Arthritis. About paid service,yes there is a paid premium service. hope I have answered all your queries Supriya!take care!