Hi, I'm Deborah. I have primary sjogrens and degenerative arthritis. I have been on hydroxychloroquine for my sjogrens for about 5 years and I have been on low dose naltrexone for both conditions for about 3 years and both of them help.
I just wanted to mention that I actually got my diagnosis confirmed, although either sjogrens or rheumatoid arthritis or lupus were all suspected for several years- when my retinal specialist had my eyes dilated and was looking at my retina for an entirely different condition(wet macular degeneration) And he said something about my sjogren so I said I don't have sjogrens he said oh yes you do.
And he had a conference with my rheumatologist and then I got my diagnosis.
So! I never did have the lit biopsy but apparently there were changes in my retina and ocular nerve that you only see with sjogrens.
That's an unorthodox way to get a diagnosis -but that's how I got mine.

Good luck! Having a rheumatologist that knows you. Have
"something" but they're not sure what and will proactively start treating you while they figure out what the heck it is is a good sign.