Yup, I agree with Joy (couchtater). The primary has no clue what the dickens he is talking about
, he is not trained in auto immune diseases. Your inflammatory markers are probably not high because they are being controlled by the medication your rheumy is giving you!!!!
Ask your rheumy who he would recommend for a primary Dr!!!
Also, if you are still having flares there is a 3rd tier of treatment using one of several alternatives - Imuran, Cellcept, and MTX come to mind. And if none of those 3 help, there is a 4th tier of even more serious meds!!!
Lynnwood, Lupus & Sjogren's Moderator, Dx: 2002DIAGNOSING LUPUS & HW's LUPUS 101
"Life is far too important to be taken seriously." - Oscar Wilde