You need to make sure you have a full inflammatory rheumatology work up! Other tests need to be done other than ESR to properly label the condition you're suffering from and furthermore administer the proper treatment. A consult with a rheumatologist is recommended!
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.