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Your ANA is reported on a newer system for screening. So when the screening is positive, they normally follow it up with the usual method which gives you a titer and pattern. The titer is more familiar to people and is reported as a ratio, like 1:80, 1:160. 1:320, 1:640, etc with the bottom number doubling each level. Hopefully your Dr did some other antibodies like anti-DS DNA and anti smith antibodies. Your TSH level being so low indicates you might be hyperthyroid, which can also cause fatigue. So your next set of test results should give you more info. Your Dr will likely refer you to a rheumatologist and endo for the thyroid. Feel free to write back if you have more questions.

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