I know that this has been awhile since anyone has written on this virus. It has been four years since first diagnosed and have never been the same. I stuggle all the time with joint pain and fatigue. I am in the process of more blood tests. My ANA has gone up to 640 so far. You are all right about the doctors not knowing much about the effect of this virus I feel like I get every year about this time. I have tried many things natural and not to no avail. I am too tired of being tired. How is anyone else doing now in 8/02?