Condition Update
So I saw my new rheumatologist for a consult appointment just last week on Thursday. I was so excited and hopeful to get some answers.
For those that don’t know. I have been living with joint pain and muscular pain + spasms for the past 5 years now. Have been diagnosed with POTS which has helped a lot but now seeking further possible diagnosis for ongoing pain and fatigue.
Went because I had signs of scleroderma as according to my blood work. I’d been seeking a fibromyalgia diagnosis for the past couple years but before I go to the clinic and see a specialist my primary doctor wanted to re-run labs.
ANA was higher than usual (still a bit low) at 3.2 and so it automatically went for further testing. Rheumatoid arthritis labs were negative and so were lupus. My ANA 2 Cascade came back “consistent with CREST syndrome” and anticentromere antibodies marked positive at >8.0
Leading to being referred to rheumatology to explore possible scleroderma. Had to wait a month and a half before seeing one for a consult. After chatting for an hour and then feeling around at my joints she came to the prognosis that I most likely do not have a connective tissue condition but would order further labs to get more specifics on numbers. Otherwise it was mostly chalked up to vitamin D issues with fibromyalgia still a possibility, but to mainly just do PT as a line of treatment with my current vitamin D dosing.
I’ve had GI issues and I asked about them because I was concerned about absorption issues which have shown in the past when I had low iron and after a year of it not going up despite supplements I got an iron infusion. It shot up and peaked at 182 back in August of 2023 only to rapidly fall a month after that test to 38. It rose again in April of 2025 after doing more supplementing and now most recently in May of 2026 it is back down to 47.
My vitamin D levels have been low for forever. They’ve never broken past 30. So I’m supplementing again on a prescribed dose of 10,000 UI daily. But I also just have further GI issues I asked my rheumatologist about how to treat my slow working digestive system & she just said to try dieting. Like cutting out gluten to see about celiac disease or cutting out dairy (I know I used to be lactose intolerant but this is not the same.) or cutting out excess fructose. Which is easier said then done when low income, typically I don’t have much of a choice.
She did question if I had been eating enough and I think so— although I only eat 1-2 meals a day but I haven’t had such issues before until recently it seems to have gotten worse
TLDR: Originally seeking fibromyalgia diagnosis (it is still on the table) & saw rheumatologist with primary care thinking possible scleroderma due to blood labs. Rheumatologist disagrees but ordered further blood work to get more specific information. For now chalks up everything to vitamin D deficiency and has recommended just PT through acupuncture & water therapy.