Nattokinase, works for pain? OK for autoimmune too?

Yes and Yes.

In my opinion, all of the fibrin dissolving enzymes are worth their weight in gold. They not only help with inflammation, but they bust cysts and biofilm too. After taking them for just a short amount of time, I noticed superficial cuts healed a lot faster and my blood was visibly more viscous. This is probably because they counteract the coagulate nature of Lyme itself.

I take a long list of enzymes because of this, not just Natto. The two other you may here about are Lumbrokinase and Serrapetase. My particular favorite is still Serrapetase though. Its the cheapest of the 3 and has the most science backing it up. Its also got an interesting story behind it to boot: it was discovered as the enzyme silkworms use to dissolve their cocoons! According to the science though Lumbro > Natto > Serra in terms of power.

I still recommend (at a minimum) Serra because it literally pulled me out of my sickest moment with this darn disease.

They dont think I have lyme anymore. So I've been "repair" mode, its slow. Hoping this will help my daily muscle/trigger point release efforts, which can create a lot of sorness. BUT less sore than if I did not do this.

Have a clotting gene to. I always wonder if this can create muscle pain from possible poor circulation- Dr say no, but they have no proof. Rolling on a foam roller manually increases circulation and you feel better, so why wouldnt a blood thinner have a simmilar effect?