I am a 48 year old female. I take coumadin 7.5 mil daily due to past mini strokes, caused by anticardiolipin antibodies. I do not have Lupus. For the last 5 years I have had increased cpk levels varying from 600 to 1400. In the past no one has been able to indentify why these levels are up. I did take lipitor 5 years ago for about three months and the doctor stopped it after the elevation of the cpk. It is still high, with a most recent reading of 709. A few weeks ago I thought I had the flu. Every muscle in me was hurting. I stayed in bed for three days. I felt a little better and returned to my desk job at work. Now the muscle pain has come back, especially in my arms, neck and both sides of my groin. My family doctor wants me to see a rheumatologist again since the cpk is up. The last arthritis doctor I saw said it was probably just a fluke thing that happens in my system, but at that time I wasn't in any pain. Should I see another rheumatologist? I've spent so much time and money on tests in the past, so I am at a loss.