-as if you are at least somewhat anemic, especially with that red blood cell count. That alone may be a major contributing factor for fatigue. (I see you've been researching that in your other post.)

I also wonder how much this may have to do with drug effects and interaction.

Remember, too, that Sjogren's is still a vasculitic autoimmune disease, as well as one of the moisture/mucuous membranes, and you may be having effects in that realm. That could certainly account for the edema/swelling through vascular insufficiency. There are also associations with hypothyroidism and adrenal insufficiency--a whole other battery of tests to have.

I know you and Chemar have communicated, and that Mrs. D will likely respond here too--do you feel like listing more test results from your most recent batteries?