Hey everyone, I'm new to this board and so I suppose I'll introduce myself. 27 year old female, having bad adrenal exhaustion and fatigue symptoms for at least 3 years now (but have had immune problems my whole life). Diagnosis of Sjogren's syndrome in 2007. Endometriosis, low DHEA, high Parvovirus B19 antibodies, Strep antibodies, suspected thyroid issues (along with antibodies), erratic cortisol levels. Currently being treated with Zithromax and Minocin for suspected Lyme in addition to mycoplasma pneum. Just recently added Flagyl but have yet to see a response. Have not seen improvement and have been taking antibiotics since December 2011. I have a bit of money right now to get some bloodwork done, and would like to know what my next step should be? What should I have tested to get the most bang for my buck, so to speak. I'm thinking more viral testing (HHV-6, coxsackie?), but really don't know what to do at this point. Any insight or interpretations are appreciated! Thyroid TSH = 2.27 range: 0.45-4.5 Free T3 = 2.7 range: 2.0-4.4 Free T4 = 0.94 range: 0.82-1.77 Reverse T3 = 17.5 range: 13.5-34.2 (expected this result to be higher, actually) T3 Uptake = 34% range: 24-39% Thyroid Peroxidase Ab = 405 (H) E Sed.Rate = 2 (always this low) CRP = <0.3 ANA = positive (always have a high titer for this, 1:1280) SS-A = 2.8 POS SS-B = negative RF = 15.4 posrange: 0-13.9 MCV = 100(H)range: 80-98 MCH = 35.4 (H)range: 27-34.0 RBC = 3.8range: 3.8-5.1 Hgb = 13.5 Hct = 38.1 WBC = 4.4range: 4.0-10.5 Platelets = 206 Lymp% = 23% Abs.Lymph = 1000 Neutrophil = 69% DHEA-S = 96 mcg/dL (this seems really low to me, I am 27 y.o.)range: 45-320 cholesterol total = 129range: 125-200 HDL = 61 LDL = 57 Triglycerides = 53 vit. B12 = 1506 (H) range: 200-1100 pg/mL (I supplement with B12) vit. B6 = 44 (H) range: 3.3-26.0 (also I supplement with B6) Folate = 23.4 (H?) range: > 5.4 is normal vit. D, 25-OH = 32 range: 20-100 (supplementing with D3 now) Methylmalonic Acid (serum) = 196 range: 87-318 Homocysteine = 5.9 range: 5.4-11.9 C3C = 87 (Low) range: 90-180 C4C = 15 (Low) range: 16-47 Lyme Western Blot IgM - negative (Igenex) 31 IND (epitope test showed negative) 39 IND 41+ 58 + Anti-Streptolysin O = 156 range: < or = 200 Strep DNASE B Antibody = 335 (H) range: < 301 M. Pneumoniae Ab, IgG = > 5.00 (H) M. Pneum. Ab, IgM = < 770 (tested negative for all Chlamydia/Chlamydophila antibodies) CMV IgM 0.39 (negative) CMV IgG < 0.9 (negative) Parvovirus B19 IgM 0.4 range: <0.9 = neg Parvovirus B19 IgG 6.1 (H) EBV VCA, IgM 0.64 < 0.9 = neg EBV VCA, IgG 0.20 EBV EBNA, IgG 0.00 (negative) Cortisol (saliva) - erratic results morning 8.7 range: 3.7-9.5 ng/ml noon 1.1 (L) range: 1.2-3.0 evening 3 (H) range: 0.6-1.9 night 2.9 (H) range: 0.4-1.0 Thanks!