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HELP, confused about my diagnosis

I have what my docs call an a-symptomatic pineal cyst, but I'm wondering if that is necessarily true.  I have had a history of hypo, and now it is 12.7, and I have many of the classic symptoms (hair loss, joint and bone pain, tender neck and lymph nodes, headache).  The only problem is that I have rheumatic fever, or at least enough of the symptoms to be diagnosed with it (ASO 380, sed rate 25, joint pain, rash, etc.).  What would be my next step in figuring out which end is up.  I have started synthroid .025 and it's been five days.  My PCP doesn't think I have to see an endocronologist, but I don't agree.  What further blood work should I request? I may be repeating myself because I posted on the community forum, but don't think it cross over to is this...I'd be grateful for any insight.  
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