@minnerhead1 Hey- I have, or have had at some point in the past, all of your symptoms. After years of diagnoses ranging from MS to fibromyalgia, I finally received a correct diagnosis of Sjogren's Syndrome (SS) after a doctor tested at just the right time for it to show up when running bloodwork for rheumatoid arthritis (RA). (SS is in the same class as RA & lupus, but often only shows up in bloodwork when in a flare up.) I couldn't see your uploaded pic, but with SS, mouth/tongue sores are common. I'm not saying that's what you have, but you never know. That being said, only recently, after going through an incredibly high stress time in my life, I was having all sorts of neuropathy (including pain, muscle spasms, unscratchable itchiness) and extreme fatigue. The fatigue is why I saw my doctor, who ultimately tested for EBV, which I had reactivated. All of the symptoms you describe could be chronic EBV. Since your current doctor didn't consider the possibility of that, I'd recommend a second opinion. The problem I am finding is that because doctors are only just now beginning to test for EBV, there aren't many MDs treating it. Neither my primary care nor rheumatologist had any recommendations for specialists, so for me, it's just been a time of treating symptoms and giving myself time to rest and recover until I feel more like myself. I'm still looking for specialists, but so far, all I'm finding are functional/alternative medicine groups, who don't take insurance. There's no cure for EBV, but it cycles in and out of remission, really coming out in full force during stressful times. I'm sorry you're going through it, but maybe knowing all the freaky things you're experiencing aren't all in your head, and are happening to other people, could give you some comfort.