I am 42 yr old female. I've had heel spurs in both feet, carpal tunnel in both hands, both knees have recently been replaced due to arthritis; I recently found out I have it in two fingers on my right hand, and the same two fingers are beginning to hurt on my left side. I have a rash, (darkened skin) on my nose. I have been diagnosed with acid reflux recently. I have arthritis in my lower back. I have several uterine fibroids. Typically I take an anti-inflammatory and with this period that I am having, I have noticed an even heavier blood flow. I mention that because when I take my anti-inflammatory, my flow has been heavy, but this time because I am out of my medication, I have seen just how heavy it can be without any medicinal intervention. I have severe lower back pain that impacts my ability to stand and/or walk for long distances. It is beginning to spread to buttocks, where it goes numb if I sit too long. I have been told that the sciatica is involved at this point with my back issues. My second toe on my left foot constantly swells. No one can tell me why. Although blood tests and a recent biopsy on nose have been negative for lupus, I wonder if all my symptoms could somehow be related and whether or not I could still have lupus even though the blood work and biopsy are negative. I ask this because I had a podiatrist that was convinced that I had it with everything being mirrored on both sides of my body. I'm beginning to wonder myself as I continuously get the same reaction from doctors that I am young to have "this much arthritis" in my body. I am overweight and realize that this contributes to some of the issues that I have. I am vitamin D deficient and take a prescription once a week. I've been doing this for the past year. Within the last 6 months, I feel like I've been in a fog. I can't remember conversations I've had with people. I can't remember where I put things unless I stop and focus on only that activity. I have purchased a new phone that is bigger in size than my last one and I'm constantly losing it. I always seem to be searching for things even though I try to stay organized. Oh and my uterus is titled, so I wonder since you can see the fibroids in a back xray and I was told that my last sonogram in 2012 showed that my uterus measured about 17 weeks, if this could be contributing to my acid reflux.