Hello @maui6698
Welcome to Mayo Connect! As you know, Connect cannot make diagnoses because we are not medical professionals, however, we can support you as you seek help. Many of your symptoms do sound like an auto-immune disorder of one type or another. Has your rheumatologist tested you for any auto-immune disorders? You might also seek the consult of an endocrinologist. Endocrinologists are specially trained M.D.s who are exceptionally good at putting the puzzle pieces of various symptoms and getting an understanding of what might be going on. I have had a hard-to-diagnose and/or rare disorder and I know how challenging it is to have health problems without answers, so keep advocating for yourself and keep seeking answers.

Just a thought: Has anyone in your family had a history of this type of problem? Are there any rare disorders in your family?