@susanh824 thanks so much for responding. I am trying to convince my drs to do this. They are hesitant because of my oral LP, and I understand that. Does anyone ever get any other weird changes in their body from Sjogren’s. For example, the inside of my nose just started to have the symptoms of “falling asleep” like when your arms or legs do. It’s a very weird sensation. Also happening in the same period of time, it feels like the muscle, not sure what to call it, of my inner elbow, knees, where arm and chest meet, bridge of nose, wrists, and opening my hands in the mornings have all started to become very uncomfortable and tight. This happened all of a sudden, all in the period of a couple days. My lips have gradually gotten more numb over 2 years and uncomfortable. They stopped feeling like they were on fire a couple months ago. Doctors just shrug their shoulders when I tell them amount my lips. Does any of this seem like it could be Sjogrens?