Note for the dry eyes. Many years before I was diagnosed w Sjogrens I had super dry eyes. I thought due to the extensive air travel as I did international work. My ophthalmologist started to plug both the lower and upper ducts which helped a lot when used with viscous drops. Downside is it’s $$$ and they do seem to fall out over time and my insurance did not cover this.

Thank you all for your helpful tips and insight as I navigate my Sjogrens journey.