Hi Rachael, your a year older than I am, I'll be 25 in a few months, May. I am waiting to find out if I have Lupus too. I have already been diagnosed with Hashimotos thyroditis too, which is also an auto immune disease. My endocrinologist said he wont treat my hashis though so I am stuck feeling incredibly ill. This has been going on for 5 years with out treatment because I lost my insurance. The endo thinks I could have Lupus and/or scleroderma, but my brother has lupus too and it's hereditary so I'm leaning more towards lupus. I wont know until next Friday. I too am terribly tired, I fall asleep while reading. I have become so weak too. The scary thing about having these auto immune diseases for me is that it can/will start attacking other organs such as heart, kidneys, lungs and brain oh and blood. The problem with that is I have a heart condition, asthma and thick blood. I don't have room for something to attack my already damaged organs. I was in the hospital last summer from a mass on my kidneys too. I am suppose to be getting surgery on my heart too. Waiting for the heart surgeon or heart department at ucsf to approve the referral. These diseases have made my esaphogus swell making it hard for me to eat or swallow my medications, they get stuck in the middle and I have to cough them back up. I have so many dr appointments to go to, my callendar is filled up. I am in so much pain it's disabling as well as crippling. I also need surgery on my spine because I have a severe t9 compression fracture which is putting so much pressure on my spine it's making my muscles in my back and neck swell. Hashis as well as lupus and scleroderma all cause joint pain and muscle pain too. All these dr's and specialist that I have been seeing keep saying how they see why I am in so much pain and say I need to be on strong pain medications but no one will give them to me. :( I am currently taking tramadol, lyrica and nucynta to treat the pain, but even when I take all three of them it still doesn't even touch my pain. My pain in my hands have crippled them so much that my endocrinologist referred me to a rheumatologist and told them it was an emergency situation, to get me in asap so I have my apt for Monday. I am really hoping I get some pain relief from them and they wont refer me somewhere else for the pain meds. I was so discouraged after my apt yesterday that I came home, turned off the lights, closed the shades and laid in the dark while listening to music. I have slipped into a depression because of this anti depressant my doctor pt me on to quit smoking and help my anger I told him this would happen too. I've stopped taking it but am still depressed because of all this medical stuff. I am so scared. I was reading infections are the leading cause in death for lupus patients and I am prone to infections, I get sick all the time too. I am scared my immune system wont be strong enough to pull me through all the surgeries I am going to have to under go. I am not trying to scare you at all or anything and I know this information may or may not be helping but I guess I just wanted to shed some light for you. Basically it sounds like they are getting to your problems in time, and I guess I just wanted to help you feel better by letting you know that it could be a lot lot worse. Try and stay positive, like one of the posters said, stress is your enemy. My cardiologist ended up putting me on a low dose Xanax to help keep me calm through all of this. I don't know if it's helping though, I mean it is I think but it's adding to my tiredness and it's such a low dose that I need more than just one pill. I hope they get to the bottom of what's wrong so they can treat it before it get's so bad that your falling asleep sitting up, or that you don't have the strength to even sit up. I feel so sick and miserable that there are times where I am bedridden for a a good 4 or so days, just last week in fact I couldn't even sit up because it made my symptoms flare up more.