Sjogren's Syndrome

Can any one clear up some bloodwork questions? I was diagnosed with sjogrens 1 year ago and had mildly elevated crp and esr. This summer I was feeling better than I have in years and both values were nearly double what they were when I was diagnosed.

Now I am starting to feel crummy, and definitely feel like I am on the verge of a flare, and my values are completely normal. Do these markers just fluctuate that much?

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