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in USA, medical insurance and type is a major determinant. Another may be the experience of the rheumatologist with whom working. I was referred to someone initially who I think had minimal experience with "Prior Approval" process or what really needs to be communicated. I had some issues with this person and obtained the name of another. I was lucky enough to obtain an appointment when another cancelled and between his experience and prior studies with various pharmaceutical companies able to obtain prior approval rapidly. (My call to my insurer might have helped too - and that as a physician to be certain the insurer was aware of rationale for the change.

Be careful folks in getting a flea bite on one's legs...(put apple cider to relieve intense itch)...I wanted to say my sis passed in 2007 n the tail end was that flea bite! It developed n got soooo bad that it developed into an ulcer..eventually killing her organs. At one time, the ulcer was managed with a cancer drug. It was trial n error..but worked then...but eventually she would pass. Just sharing information. Be well.

Thank you for this information. I also feel that it's hard to participate in trials when we can't get a proper and timely diagnosis in those same communities. My doc has diagnosed me all around lupus, even with positive ANA and some of the clinical symptoms... he prefers Sjogren's, which I also agree with, but it seems more overlapping based on most research. Good day!

Thank you for ongoing posting of relevant & scholarly lupus updates.

excellent review of Eular the best I have seen.

Interesting studies about the role of JMJD3/H3K27me3 axis and epigenetic changes in Lupus.

suggestion: include bibliography of papers reviewed. thank you

No discussion regarding detoxification, stress reduction modalities and diet. Doctors are good but their job title should be changed to drug salesmen.

Good discussion

Thank you for offering scholarly advice and facts regarding lupus✌️

Any medicine curing diseases is that medicine works on immune system and immune system working and cure diseases actually. Immune system is more complicated so lupus are more complicated.since lupus caused by immune system not strong enough. Why woman are in more higher rate than man,since women (Yin)gets energy from lungs and man (Yang)gets energy from kidneys(more Parkinson). Lungs are the most important organ in immune system. Any modem medicine tablets or pills can’t cure lupus indeed, because they can’t add energy or saying biological energy into illness body. If immune system gets enough energy which could be boosting itself and cure lupus eventually. One traditional classic formula could add biological energy into body and boosting immune system to cure lupus diseases and other immune related.

Any medicine curing diseases is that medicine works on immune system and immune system working and cure diseases actually. Immune system is more complicated so lupus are more complicated.since lupus caused by immune system not strong enough. Why woman are in more higher rate than man,since women (Yin)gets energy from lungs and man (Yang)gets energy from kidneys(more Parkinson). Lungs are the most important organ in immune system. Any modem medicine tablets or pills can’t cure lupus indeed, because they can’t add energy or saying biological energy into illness body. If immune system gets enough energy which could be boosting itself and cure lupus eventually. One traditional classic formula could add biological energy into body and boosting immune system to cure lupus diseases and other immune related.

😇 *promosm*

I have my medline email alert but this is way more effective and insightful than that!

very informative.. I'm a rheumatology consultant and i find the content of the Lupus Forum is very helpful..my favorite part of the day is when you post a new thing! thank you a lot😍

How did you record the bilag in the notes? Just include the work sheet? Or is there a numerical composite score?