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(reply to Joann1)

Hi Joann

I think many of your symptoms are related to the continuing dose changes in your hormones. Every time you use more or less or start or stop your body responds to that.

About the wrists-RA is not diagnosed by blood work. You can have sero-negative RA, meaning the RA factor in your blood is zero, but you still have RA. This is very common, which is why RA is diagnosed by physical exam, history, and xray along with blood work, so I'm wondering about that.

Do you have swelling or redness in your wrists or other small joints of your hands and/or feet?

If it is okay with your doctor, anti-inflammatories such as ibuprofen may help with your pain. I would suggest you ask about that. If you aren't at risk for GI bleeds or other interactions with meds, an over the counter drug may decrease the pain enough so you are not as miserable.

I think you should get your gyne on the phone and tell her how miserable you are, and see what she suggests. All of your symptoms other than the wrist pain are clearly hormonal. In your situation I would be tempted to ease off of them altogether. But that's my personal feeling.

I'm sorry I can't tell you definitively what to do. But I think it is reasonable for you gyne to get on the phone and give you some advice before your next visit.

Write any time, you don't have to worry about that. That's what I'm here for. I hope you feel better soon.

July 8, 2010 - 6:27am

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