Thank you for encouragement, Sharon. I do understand the insurance factor. But I have also asked for bone density testing, which is 100% justified given that xrays and CT scans are showing significant worsening of osteoporosis over the past year. My right shoulder now drooping like a downhill ski slope and very noticeable to naked eye. Never had shoulder or ankle pain before 2022, but serious pain now. I also have developed peripheral neuropathy in both feet and calves. So, I changed primary to an internist 2 mos ago. She was shocked that I've never had bone biopsy before with an existing 10+ yr diagnosis of arthritis, that is rapidly worsening. Thankfully, I am having that test done in 2 days. Also, to the point about bloodwork results, there is the factor of which tests a physician orders. In my case, everything has been surface testing until my new doctor. She tested things I've never heard of, and found abnormalities. I am finally hopeful bc my new internist is clearly excellent but also digs to get to source. Thank you so much!