I got a telephone appointment with the PA and she said it was probably allergies and to take Allegra with my Montelukast. I reminded her that I have Sjogrens and don't want to get drier. I have been tested for allergies by an immunologist and had no reaction to the first set of injections so he immediately repeated some of them. I had an anaphalactic reaction and he never said what caused it. It was scary. He did want me on drops but I refused. I got a report and it showed some allergies but nothing severe. He did diagnose me with a low IgA and IgM and no immunity to pneumonia even though I have had both shots. He did give me another pneumonia shot. I don't know if any of this could be connected to Alpha-1. I am still having the pain and breathing problems but not every day. I have to call the PA in a month and I will keep taking both allergy drugs. I don't seem to have all the symptoms of Alpha-1- that are listed but if I will talk to her about being tested. Thank you for keeping in touch.