What are your labs/bloodwork saying? Red blood count, white blood count, neutrophils, cytokine counts? What Vitamin is deficient? It will help if you ask for copies of your blood work and can show that to a rheumatologist. There is a problem with coordination of care in this country. I know it is hard when I don't feel like doing it, but I have to be my best advocate. Doctors do not seem to communicate with other doctors which is the definition of coordination of care. Ascension doesn't automatically send information to HCA for example. It is really an issue. Please let us know if we can be of support.