What is causing this? Ana screen 1.71 (0.0-1.00), Vitamin D 28.4 (<30), Glucose 120 (65-99), Total Protein 8.5 (6.0-8.3), Gamma 1.7 (0.7-1.5). On betablocker Bystolic for rapid heart rate.Mild enlargement of Left Ventricle. Mild sclerotic aortic valve. No alcohol consumption. All over joint pain. Female, 5"5, 222 lbs.Occasional shortness of breath. Possible mild asthma or COPD from PFT testing after a respiratory illness. One time elevated T4 for a couple of days. Thyroid in beginning of thyroid disease. Positive elevated thyroid antibodies. Fatty liver. All other tests within normal limits. Is this an autoimmune disease maybe?