Carl I can tell you this, one of two things... Either I'm in remission and have been for several years or secondly I found out my testosterone level was very under 100. So after I started testosterone therapy my "lupus" we're almost non-existent. My doctor believes it was the low testosterone causing everything. Remember lupus is " the great pretender" and diagnosis is not a black and white thing. All I know is I am happy to feel better and have way less joint pain.