@becsbuddy I saw a Rheumatologist today and she said that my ENA RNP test result of 1.9 is not significant enough to dx anything and that a titer above 8.0 is needed. She also dismissed my physical symptoms as something other than auto immune disorder related (my facial rash looks more like rosacea to her, instead of the hallmark lupus "butterfly"). She did agree to get a titer and pattern on another ANA test (for thoroughness)-but I am wondering why bother, since the ANA results seem even more arbitrary than the ENA. And she also ordered other tests as well, also for thoroughness only. I would like to get these other tests; but not certain I wish to continue seeing her. The advice she offered me is "stuff" I could get from a friend (without medical training). Hmmmm...I am wondering why the lab reports 1.9 as high and her high is 8.0 or higher. Makes no sense to me.