@boconn89 Have you seen a neurologist too, or just a rheumatologist so far? I have many of the symptoms you mention. I was diagnosed with fibromyalgia by a rheumatologist. Then I went to a neurologist and through a skin punch biopsy, I was diagnosed with small fiber neuropathy. I’m currently going through more tests with Mayo to see if there is an underlying cause. So now I’ve also been diagnosed with autonomic dysfunction and POTS. So far no underlying cause for any of it but still waiting on some test results. If you haven’t been to a neurologist, you may want to consider that. Wishing you well! ~Robyn