I have Sjogerns also. I had horrible joint pain at the beginning of my diagnosis (about a year ago) but it has subsided. I did the autoimmune protocol diet for 6-7 months and it helped tremendously. I also started a “high powered” multi vitamin. I’ve been diagnosed as prediabetic so lately have really been watching the carbs. And it’s seems to be affecting my energy levels. As well as my cognitive problems and tinnitus, making all of them better. Ive been reading about how insulin may be affecting more than just your blood glucose. Maybe you should have your insulin checked? I haven’t had mine checked but plan to.