I have been dealing with extreme fatigue, joint and muscle pain, weight gain, and IBS for years. I have been seeing my doctor for the past 3 years and she keeps telling me it is probably fibromyalgia because blood tests are coming back normal. She also thought it was depression and because of that and her thoughts of fibromyalgia, she put me on 120mg of cymbalta. I have been taking it for 3 years with no improvement except during PMS time when my mood is more stable. I still have the pain, the extreme fatigue, the IBS, etc. My last lab work came back and I was able to see them for myself. They told me they were all normal, but when I look at the results they show: ANA Positive 1:80 Homogeneous. All other tests are within the normal range. Are there other tests I should be requesting based on these results? The nurse told me they are all normal, but we still do not have any answer regarding my pain and fatigue.