### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have symptoms of severe fatigue/lethargy/affecting ADLs, weight gain with no diet or lifestyle changes, generalized pain/malaise, insomnia, fever of 99.5f to 101.5f x 1yr, and I feel worse than crap.  I was dx w/ lupus-like syndrome 18yrs ago and Fibromyalgia 16yrs ago.  Ive always had a fatigue and pain, but my sypmtoms have been markedly worse for 1 yr. I had a Cortrosyn Stimulation Test this AM and 25 mg/l was my baseline;  it increased to 32 after 30 min; the increased to 37 at 60 min post injection.   The high range for normal s 19mg/dl.  I had a normal MRI of the Stella Turcica this AM as well.  How would you interpret my findings?  Ive looked the interpretation up, but its unfamiliar to me and I want to know more about it.  I know it should elevate over time, but Im not exact on what the baseline elevation indicates

### output:

Hi and thanks for the query, Interpretation of these results would require that many parameters be taken into consideration. First, you have already been on treatment, and steroid therapy, for that reason. This alters somehow the normal inflammatory response and distorts to an extent the expected physiological hormonal changes. Expertise of an endocrinologist in the interpretation of these results is advised. It is possible you could have a mixed connective tissue disease. Symptoms here span from those from Progress, syn Chat Doctor.  Your rheumatologist will certainly ask of an sternal of biological tests (ANA, p ANNA, CANCA, CRP, ESR, CBC, Rheumatoid factor, Anti DS DNA, anti Sm antibodies). X-rays to evaluate any degenerative of demineralization lesions at the level of the joints could also be seen. I strongly suggest you consult your rheumatologist and an endocrinologist. Thanks and kind regards, Bain LE, MD.