@pm56 Thanks for the reply. I was diagnosed with Hashimoto's over 20 years ago. I do have psoriasis (be glad you don't 🙂 )and psoriatic arthritis, but was told that those conditions wouldn't affect the sjogren's number? Honestly, the abnormalities in the bloodwork/etc. indicate lupus. Pretty sure I don't have that either though from my understanding the ssa sjogren's can be positive when it is lupus? I had already decided not to attend the 3 month follow-up appointment and repeat bloodwork as the receptionist not so kindly informed me that he didn't have any appointments open in August. After rolling her eyes a bit, she scheduled for a virtual visit at 6:30 AM. Now I am stuck wondering if it is worth tuning in to see if he has any insights.