@intheorchard, I'm so sorry you have gone through so much. Praying for you.

I would ask the Rheumatologist to run a COMPLETE panel for autoimmune diseases AND a complete thyroid panel....not just TSH, T3 & T4 please or refer you to an Endocrinologist to have a complete Thyroid panel. Thyroid is so overlooked. Primary phyisicians usually will not run but 2 tests for Thyroid. Hashimoto's Thyroiditis was missed with me because of this until I went to an Endocrinologist.

Have a list of your most concerning symptoms in front of you and tell them your concerns.

Blessings & Prayers....