Hi Irs76, welcome! I know you will find great friends support here. I have a wonderful rheumy and I travel hours to get to her, but she is worth it. I have hoshimotos from the lupus. It can only be diagnosed with blood test for antibodies attacking the thyroid & ultrasound. T3&4 were within normal limits. The symptoms, were, not joint related. Muscle spasms, extreme fatigue, sleeplesness, hair loss, dry skin & eyes, broken nails, etc. Hope this helps.