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"Brain Fog"

Q:  Hi Dr. Carteron.
Thank you for your info. I am being tested for suspected Sjogren's and Autonomoc
Dysfunction. Could you please tell me if there is anything that can help with brain fog?

A:  I wish....First we need to understand what it is. There are hypotheses, but very little data. One hypothesis is that it is inflammation or immune cytokines that cross into the brain. But a recent study showed a down regulation of suspected cytokines. An other possibility is it is connected to autonomic dysregulation.

Other diseases also have a similar symptom. For example, Fibro fog in Fibromyalgia.

Track the symptoms. Are there things that make it worse or better. Often sleep problems or stress worsens neurocognitive dysfunction.

Exercise, like aquatic or tai chi or walking, and evaluation of your diet and nutrition are a good place to start.

If your overall disease is active (inflammation), your team may suggest specific options (i.e. medications) to lower the disease activity. When the disease is less active, sometimes the "brain fog" improves.

Support groups - on-line or SSF sponsored, may be a resource for Tips from others who have found options that helped them. http://www.sjogrens.org

dr c

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