Well I have had mine for five years Cliffman and been under rheumatology for all that time. I live in Scotland and the NHS is inflexible about people meeting criteria for referrals if not obviously falling under a specialism. So, on the basis that they believe my bloods are adequately normal for a hypothyroid person taking Levothyroxine - they won't refer me to a thyroid specialist.

RA is a rheumatic disease so I've been treated aggressively for this and monitored for inflammation. Once the joint inflammation went away they just shrugged off the face that inflammation or infection was still showing in my blood. But remember that small fibre neuropathy isn't a disease in itself but is often part of a disease process.

They don't seem to think that neuropathy would cause inflammation unless it's immune mediated - which I'm quite certain mine is. So if it's not caused by my RA or any other connective tissue disease such as lupus - then to my mind it must be linked with thyroid disease or something endocrine. Neurological conditions don't usually cause an inflammatory process unless they are part of a connective tissue disease. With your heart problems, high CRP, hypothyroidism have you or your doctors considered Lupus or Scleroderna or Vasculitis I wonder? Worth asking about if not abc getting your autoabtibodies taken. All these autoimmune diseases can cause heart problems.