Miscarriage or Viable pregnancy?! help!!

KP
Feeling all over after poorly rising HCG numbers; 86, 110, 169, 491!! I am getting different feedback all over the place; CCRM told me they have no clue what's going on (but still high risk for ectopic), my monitoring clinic did a sonogram today and saw nothing (said normal at 5 weeks and a day), my OB said she thinks all is great, and sadly my acupuncturist acts as if I have already miscarried and claims this will not be a viable pregnancy!! Whew, all over!! Thoughts?!