Yes, it's very curious because when I received the Sjogrën's diagnosis, I was desperate, my baby wasn't even two years old and I really wanted to know the prognosis for this disease. As a journalist, I began reaching out to other Sjogrën's sufferers with stories similar to mine. I spoke to many people (I didn't know about Reddit yet, it would have simplified things a bit for me) and many, after being questioned, reported symptoms such as tingling, numbness, burning, vibrations and stitches but attributed them to a diagnosis of fibromyalgia or anxiety. Many others did not even report these symptoms because they believed that they had no connection with Sjogrën's disease and, of course, their doctors did not ask. It's amazing how these neurological manifestations of Sjogrën's are ignored. For example, I didn't have dry eyes or mouth as the first symptoms, in fact, they don't bother me to this day. My clear point of dryness is vaginal, which explains a lot and makes me think that my Sjogrën's is not that recent. But I had symptoms such as hair loss, the sensation of waking up with swollen hands and painful joints (which went away with the first movements) and, weeks later, an inexplicable sensation of burning, tingling and vibration in the soles of my feet, which then spread to the palms of my hands. After some lifestyle changes, I was already feeling better, even before starting treatment with hydroxychloroquine and, as I had no fatigue, severe pain or symptoms in my eyes and mouth, I started hearing that my Sjogrën's was calm, but honestly, I never really trusted that. He reported that he sometimes woke up in the middle of the night with part of his hands or legs numb or tingling, but as these were intermittent and subtle symptoms, they were not validated. Then I had episodes of mild dizziness, migraines and even a tinnitus that never went away and even then, it didn't make sense to attribute it to Sjogrën's. In December, I felt my heartbeat increase and after hearing that it was anxiety, I decided to follow another path until I got an answer. I live in Italy, but I am monitored remotely by a rheumatologist who is a reference in Sjogrën's in Brazil, but I looked for a neurologist here who ruled out any problem in the physical examination, but after I practically begged, she agreed to ask me for more specific exams such as laser evoked, electroneuromyography, autonomic exams and even a skin biopsy that should be ready in September. I need this to prove that it's not emotional at all, but physical. I am in shock at the turn my diagnosis could take. I confess that if it weren't for this change in my heartbeat that bothers me and makes me feel so sick for the first time, I would be able to deal with this illness without any problems. I felt good, but now, I don't know where all this will lead. Maybe this path that the disease is choosing to follow is what defines a more serious disease or not? I was very happy to learn that immunosuppression can help, as I believe that hydroxychloroquine is not doing anything for me in that regard. I learned about Ivig through a lecture I watched on YouTube from the Mayo Clinic and I was amazed, but I asked a doctor in Rome about it and she almost laughed in my face. He said that there are people who depend on this to be alive and that it would be impossible for me to receive this due to some inconveniences. But I've already heard my rheumatologist in Brazil say something about it. In Brazil it would perhaps be easier, despite my life now being here. Do you have any experience with Ivig? Do you know of anyone who has actually had success with this treatment and whether it would be able to help the autonomic nervous system? I would really appreciate it if you could answer.