When I got Long COVID, my ANA titer was 1:80 speckled as well. I tested negative for Sjogrens, HIV, Lupus, Lyme's and others. I do have inflammation and EBV was reactivated. I felt like I had a UTI and lived on AZO. It was not a UTI. It was symptoms of Interstitial Cystitis. I started drinking only water and that helped. That went away as well. PEM and chronic fatigue are the worst symptoms and tinnitus. I can't feel temperature sometimes in the mornings as well as not being able to taste anything, but that eventually goes away. All of this boils down to inflammation and I am starting to think that it has to do with stress (fight or flight adrenaline and cortisol) for many years. After I got Covid, twice, my body just said STOP. Anyway, I am still fighting and I take medications to help with some symptoms. I am better than I was 3 years ago for sure. Hang in there.