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@johnbishop

Hello @jixster, I think it's just hyaluronic acid which has shown to be beneficial for rheumatology disorders. Here's some 2023 research information that gives an explanation:
--- Hyaluronic Acid in Rheumatology: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537104/.

There are a couple of related discussions:
--- Sjogerns and oral hyaluronic acid supplementation: https://connect.mayoclinic.org/discussion/sjogerns-and-oral-hyaluronic-acid-supplementation/
--- Hyaluronic acid (hyaluronan) to treat COPD and Asthma: https://connect.mayoclinic.org/discussion/hyaluronic-acid-hyaluronan-to-treat-copd-and-asthma/

Are you able to ask your local pharmacist if you aren't able to talk to your doctor about using the supplement?

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Replies to "Hello @jixster, I think it's just hyaluronic acid which has shown to be beneficial for rheumatology..."

Well I am wintering in Arizona at this time - so my local pharmacist is back in Ontario Canada. I would ask him if I was there.
I tried a liquid form of hyaluronic acid - it didn’t do much for me - but I only tried it for a few days. This supplement from Mexico worked overnight which is why I have some concern about ingredient content.
Thanks for the links they are informative!

I have been using a liquid form of high molecular Hyaluronic Acid for a few week now - I haven’t noticed any difference unfortunately.

there are two types of Umary available on Mex Amazon. Original and enhanced.
the original doesn't contain Nettle (ortiga). It is up to you to decide if you want the effects of the nettle. You must look closely when ordering to see the difference.