hi, going out on a limb here, so work with me, ok. Having myself just gone through an emotional awakening a few years back and spending the last 10 years learning about how /i have left psychologists puzzled by my success.
So, here it is for you to run around in your head. What does the brain do when a person is out in the freezing cold? The brain has a back up plan for every possible situation that might shut it down, in other words its a survivor. Now the brain shuts off circulation to the limbs. Right?
I believe with all mind and body illnesses the brain is the one behind it all. Just imagine your brain getting a signal telling it, the eyes are never outside, so they fail to need to produce moisture, like they would if they were outside all the time.
Take Alzheimer for could it be the brain is realizing the person is using pictures to remember people, push one button on a phone and a call is made, and so much more, so the brain realizing it can be a little more effencient by shuting down part of the brain used for memory. don't need memory working so hard when there are tools to use.
Thus, use the medication, but, don't depend on entirely. spend more time outside or at a floral shop. find things to that will tell the brain need to work here, need moisture. Too the medication might work even better by being in places you normally be go. goodluck

I am currently on this. The benefits outweigh the complications for me. Its one of the milder options. I was having severe inflammation, Daily hives & having to administer epi pens for anaphylactic shock with Sjrogens & SLE