I was diagnosed with CTD 5-6 years ago by my gastroenterologist but not by my rheumatologist. My symptoms from GAVE, anemia, and pulmonary fibrosis has my specialists somewhat uncertain how to treat me. So I carry on my life without added medications. I suffer from fatigue, chronic cough, loss of taste, and nasal drip but I manage them. Medication such as prednisone has been mentioned but thank you but no thank you.