Well, I was singing fine in car drive to Stratford u Avon yesterday and again at the parents in-law's last night. No problems belting songs with Nina Simone in car drive home today.

I think perhaps it is more performance issue than I wanted to believe. Hysterical laryngitis maybe. Anyway, now I will monitor the voice in different situations and make concious effort to treat it with care. If things remain bad or get worse, I will make appointment with GP.

BTW... since the Sjogren's is secondary to rheumatoid arthritis (which according to RH factor tests in November is in bit of remission), my NHS RA consultant and RA nurse are not interested in treating it or giving any advice. They just say it is to be expected.

That salagen looks like the side effects are much worse that what it is meant to treat.

p.s. I make my own chicken stock and no salt or msg goes into it. Just garlic, onions, celery and Kroger salt free Zesty Blend. Completely deleting caffiene will be a wrench. I do love coffee an normally have at least 2 cups a day. Maybe one decaf coffee in afternoon will satisfy me. Will try it.