Hello @toomanyoars, welcome to Connect. I love your profile picture! I'm sorry you're having to go through a bunch of hoops without much of an answer or diagnosis. There is another active discussion on Lupus tha you might want to read through here on Connect.

Groups > Autoimmune Diseases > Tumid Lupus with SLE Symptoms?
-- https://connect.mayoclinic.org/discussion/tumid-lupus-with-sle-symptoms/

You might also find the following sites helpful:

Lupus Research Alliance - Diagnosis & Treatment
-- https://www.lupusresearch.org/understanding-lupus/diagnosis-and-treatment/

Good site that speaks to lab tests for autoimmune disorders, by illness. Its not meant to dwell on, just a good reference.
-- https://labtestsonline.org/understanding/conditions/autoimmune/

@toomanyoars have you thought about getting a second opinion?

I’m not sure if it is an option for you but if it is, the Mayo Clinic is very good at diagnosing health issues that are difficult to diagnose. If you would like to seek help from Mayo Clinic, you can contact one of their appointment offices. The contact information for Minnesota, Arizona and Florida can be found here:

Mayo Clinic Contact Information: https://www.mayoclinic.org/appointments

John