My last update spoke about my new care team. Wanted to quickly update my new treatment success. I’m diagnosed now with AxSpa (NR), fibromyalgia and Sjogren’s. I have completed about 2 1/2 months of Cosentx and about 2 months on Lyrica. A few weeks ago my Cosentx had not kicked in yet and the Lyrica was very low dose and I was in a lot of pain, fatigue was awful and was basically in what I can only call a months long flare. Fast forward to two weeks ago. I called my pain mgmt doc and told them, in tears, that I was really struggling. My doc called in the same Lyrica strength (100 mg) but for twice daily. I also take Amitryptilene (10 mg) at night for sleep. And, it seems my biological has started working. Man, oh man, this did the trick! I have been almost pain free for the last 2 weeks. Not sure which med, or both, has kicked in but the dragging fatigue is gone and pain sits at 0-2 consistently. I should say I have also been walking 1-1 1/2 miles about every other day and have lost almost 40 pounds over the last six months. I’m sure healthier eating and regular exercise have helped, but getting the correct diagnoses and meds has so far been a godsend!! Excited now for our upcoming 12-day cruise which I had been kind of dreading.