I know it's auto immune, and my family has quite a list of auto immune issues. I'm the oldest. Our bodies are just wearing out I guess. I hate to say it, but I'm just a bit jealous when I see elderly people riding bike, hiking, shopping at the mall. I also have a bad back - 20 degree curve at the bottom, had a 6 hour surgery in 2017, was good until 2023, then a lot more pain so have a medtronic unit installed with battery pack. Then last spring I had 4 vertebra fractur and had concrete poured in through metal spikes pounded in my back. It's been fun 🙁 I just had surgery in November to remove a section of colon where the diverticulitis had 2 different abscesses. I've been really good for 2 months, and now recovering from influenza A with a 103 temp! Just felt like chatting - sorry. Will keep you in prayers that you have relief from all your issues - so many of us, and my prayer list is getting longer every night.