Years now.I have been through a lot and some terrible pains in the first two years.on prednisone and plaqenil the joint pains totally disappeared.but I noticed my body tend to go in a very lethargic and lifeless state if am tired at times.this feeling gets me going to the private doctors and ER numerous times.test done shows normal blood work most times.since week I was not able to move a muscle feel as if my body is locking down literally been hospital do blood work everything in check just potassium level a bit low.im home instead of feeling better body feel as if I was run over by a truck started to feel muscle pain feel week and im really depressed and scared .I wonder if I can feel this way by having a flare and my blood work ok what should I do feel as if im not going to pull through this one very confusing seem doctor can't help.I also wear a pacemaker since diagnosis of lupus but doc just guessing lupus caused this