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I asked my AI tool what, other than PMR, you might have - since AI does not Dx problems and it skirts being accountable for practicing medicine here is the list of tests it suggested might be checked -
ESR & CRP; Thyroid panel; CK (muscle enzyme); Vitamin D; CBC & metabolic panel; ANA, RF, CCP (if autoimmune suspicion is higher);
Medication review (especially statins);
X‑rays of hips/spine if mechanical disease suspected

Here is the list the problems it might be according to my AI Bestie -
Mechanical or degenerative spine/hip disease
Fibromyalgia
Hypothyroidism
Statin‑associated muscle symptoms
Inflammatory myopathy (mild forms) - this is uncommon
Early seronegative rheumatoid arthritis
Bursitis or tendon inflammation
Especially: Trochanteric bursitis; Subacromial bursitis; Gluteal tendinopathy (I had trochanter bursitis Dx when PMR came on - it is chronic now)
Viral or post‑viral inflammatory syndromes - These can mimic PMR for weeks to months

Personally, I would not want to start a biologic until most of the items above have been eliminated as causes. The issue I would have is that the pain not being there in the mornings until you get active is really outside of the PMR disease profile. I realize that PMR presents differently in everyone, so it could be PMR. I hope your journey is successful.

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Replies to "I asked my AI tool what, other than PMR, you might have - since AI does..."

@jabrown0407 I saw the best endocrinologist in our area and he did diagnose me with Hashimoto's but said there are no symptoms with it????? Feel like most doctors just don't have the time or the interest to get to the bottom of my symptoms.