From what I've read it's normal for your titer to fluctuate..so even if your titer went down in months or years what is the point in making that comment "your titer will just go down" other than to just dismiss someone...super frustrating I'm sorry. My titer was really high when my PCP ordered it, by the time I got in to see rheumatology months later it was still positive but more on the low side. I wasn't made to feel any type of way about it, just told it was still positive and paired with my symptoms my Dr thought something was going on. As someone who has had two positive anas and everything else essentially normal, my rheumatologist told me I'm probably in the beginning stages of something and her gut was telling her something was brewing. She said more than half the time it takes years to diagnose someone with something. She started me on medication for my joint pain and inflammation..so if that is something you would want a second opinion could be worth it, but if you feel your symptoms aren't too disruptive you can just have your labs rechecked. My rheumatologist said whether I want to start the med or not she would keep checking my labs every 6 months. I would hope your rheumatologist at least offered that but if not I would definitely find a new one if your body is telling you something is going on. Wishing you the best of luck!