Agreed ! Dont believe in coincidences new hip new issues. Like dr tom cowen says patients have stories and they are not to be overlooked. I saw a few subtle signs before my feet started burning : puffy rt ankle puffy lower eye lid. I ended up ordering the test myself for 425. Most doctors just do their little test and push you out the door. If they don't understand something they don't want to use their time to look into it. Being only 2 such labs in the country of course they don't have pre approved insurance, and that would be more work for them getting it. You really do have to be your own advocate. I havent ate any garbage like processed foods or highly oxidized (heated) seed oils in 10 years to avoid these characters but this happens anyways. On a positive note, the test should be a slam dunk tho its not like I mentioned above. They look for specific antibodies to known materials on their data base. My body should have plenty of those with that high of a rheumatoid factor ! I still think this might be overlooked because it's not like an allergy or infection it could takes years to develope and can't be found on an x ray or in usual blood work.