@harryboy7
I was diagnosed by a biopsy for Sjogrens and every year it progresses but for me the dryness has caused swallowing issues...I have been using pilocarpine since October and would rather use it than not even though it only helps with dry eyes but doesn't last for long and can't take more than 5 mg at a time because my heart races. Plugs did nothing. It is an awful disease...swallowing gets worse and a lot of choking and coughing!
Moved to Nova Scotia and care is awful...only 1 rheumatologist for 40k people... I hope you find relief
All the best!