I am not sure if I have a true autoimmune DX or not yet. I had a positive ANA and anti RNP ( but very low anti RNP). I have had some vague symptoms ( swollen glands, achey legs and knees, weird numbness in my elbows and arms during night, night sweats, low grade temps) but now most of these SX are gone except I am so tired all the time. I feel like i live on caffeine which i know is a bad cycle but i truely feel like i can;t do it without it! I do work full time plus at a demanding a stressful job as well as havee 2yr old to chase, so I'm not sure if my faitgue is normal or a SX. I feel like it is a tired that lives deep inside me, never gets better with sleep. Also, curious to know if Paquinil helps with this fatigue? Not on any meds yet just seeing my Rheumy every 3mo for labs. WE were waiting to see how things progressed b/c I'd like to get pregnant again soon, hopfully. ( if I have the energy for it) I am able to get up everyday and live my life but i just always feel like it takes more work than it should.