For some time now, I've had generalized pain and fatigue. All of my blood work was normal except for a sed rate of 46. My doctor was not terribly concerned, and is changing my antidepressant, and suggested some lifestyle changes. However, according to the paperwork I was given that outlined my results, a normal sed rate is 20. Should I be worried? Please don't answer if you don't have any actual knowlege. Also, I already know what a sed rate is, so i don't need a lengthy definition. Thanks so much.