I can only say what i experienced. Others may have a different experience. I went to a very respected acupuncturist. It was through a respected medical facility. He took a full history and determined the right places to place the needles. Mine were on the wrist and ankle. It was much more uncomfortable than I expected, but worth it. I went weekly for a couple of months. I had a dramatic improvement in my dry eye symptoms. I initially got the idea from a study I found online that supported acupuncture as an effective treatment. I’ll try to find the link. I told my ophthalmologist about it and she is supportive. I was stable without severe relapses until recently. I figure I need a tuneup. Lol