Hello @ejlm You have been dealing with so much! Have your doctors suggested seeing a rheumatologist? Many times they can put all these vague symptoms together and come up with a diagnosis. But, how about you? Are you able to cope on a daily basis? Are your children still at home? You also say that stress causes flare ups—do you currently have a lot of stress? Too many questions! I’m sorry! Please stay in touch with us!