Maintaining relationships is probably the hardest. Others don't understand why you don't feel well all of the time just because you look okay on the outside. This is very frustrating. I have alienated many people I care about, simply because I choose to sleep and relax, rather than go out. I recommend showing your family, friends, etc., literature on Sjogren's and make them aware of this disease.
Exercise is also very important to help with circulation and fatigue.
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