Do my ANA report shows any concerning issues?

Hello doctor,

I have a positive ANA.

ANA titer: 1:640 AC-1, homogeneous.

ANA titer: 1:640 AC-2, 4, 5, 29, speckled.

RNP antibody: positive 1.5. All other antibodies are low.

Serum cortisol: high 30 at 8:15 AM.

Symptoms: Pulse races sometimes (can control with breathing exercises), especially when nervous. Vague muscle aches and pains, bilateral, that come and go. It could last a day or two and then leave. I also have muscle fatigue. The symptoms tend to be very vague and come and go. No Raynaud's, no swollen hands or fingers.

Sedimentation rate: 2

CRP: 2.4 mg/L.

Does this sound like anything to be concerned with? I am anxious about the antibody findings. I am currently taking Nexium, Clonapin .5 mg at night.

Thank you doctor,

No fever or joint pains or facial erythema. Most of the pain tends to be in my tendons. I was having muscle twitching also, but that went away. My muscle in my thigh was twitching for almost a month and then just suddenly stopped. I do feel like my muscle fatigue is getting better as the month progress.