If you want your caffeine and aren't too much of a purist ie straight coffee, one compromise you can make is Bolthouse Farms Hazelnut Latte or Mochaccino; they have only coffee, milk, juice (sweetened this way and it sounds weird but you can't taste fruit), whey protein--which helps your body cope with the caffeine and its inevitable GI ailments--and either cocoa or roasted hazelnut along with vanilla bean... It is the best balance available widely (USA at least). No personal experience with Salagen, but aside from having to pee a little more the first few days and actually having sweat (I take Tylenol along with it since my sweat is caused by a low grade fever with the RA and such)... I've had no bad reaction to evoxac. Plaquenil--derived from natural quinine but without the safety concerns-- is quite common for treating combined RA and Sjogren's. Trust your symptoms re: remission. Blood work proves more and more unreliable in assessing autoimmune symptoms...not saying be paranoid, but track things to know your overall feel... And there are also tablets/lozenges that are slow to break down to relieve oral discomfort (here they are on the top shelf of the toothpaste aisle in drug stores)... Hopefully you'll keep feeling better. Be gentle and remember your throat doesn't have the same healthy tissue it did before so you have to treat it carefully so you don't do further damage (secondary is a load of ... If you have it, ignoring it is not wise on their part-- if I had cancer secondary to a lung infection --both equally important to treat as are RA and Sjogrens--you get the picture)... Take care!