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What to consider when facing a biologic

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Talking about changes to our autoimmune treatment can be overwhelming—especially if the conversation turns to biologics. Many people managing rheumatoid arthritis (RA) or other autoimmune diseases find themselves in a rheumatologist’s office, hearing that a biologic might be the next best step. So, what exactly are biologics, and how can you make the best decision for yourself? Let’s dive into the basics and explore some key questions to ask so you can feel more comfortable with whatever path you choose.

What Are Biologics?

Biologics are a class of medications that have brought a whole new level of specificity to autoimmune treatment. Unlike traditional drugs, biologics are made from living organisms—proteins, antibodies, or cells—which scientists isolate and modify to target specific aspects of the immune system. For people with autoimmune diseases, these medications can help reduce inflammation and limit the immune system’s overactivity that causes joint damage.

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How to Handle Unwanted Autoimmune Advice

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When you’re diagnosed with an autoimmune disease, it feels like your world shifts overnight. You’ve got new doctors, new medications, and a long list of new symptoms to manage. But one of the most surprising parts of the whole journey? The flood of well-meaning, yet unsolicited, advice that starts pouring in. It’s like everyone you know suddenly becomes a health expert!

Dealing with this constant input can be tough, especially when you’re already navigating the complexities of your rheumatology care. But before you feel overwhelmed, let’s talk about how to sort through the noise and stay focused on what really matters—your health, your goals, and your well-being.

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Swallowing when you have Scleroderma

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Living with scleroderma, or systemic sclerosis, means dealing with unexpected challenges that can impact your daily life. One of the less-talked-about areas is how scleroderma affects the mouth and esophagus, leading swallowing problems. While these symptoms might seem minor, they can have a significant impact on your quality of life and overall health. Let’s dive into what’s happening and how to manage it.

What is Scleroderma?

Scleroderma is an autoimmune disease that can affect many parts of the body, including the skin, joints, lungs, and even the digestive system. But unlike other autoimmune conditions that cause inflammation, scleroderma’s symptoms often result from fibrosis. Fibrosis means the buildup of scar tissue, which can cause the skin and tissues to harden.

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Why Primary Care is Essential for Autoimmune Patients

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Managing an autoimmune condition can be complex and overwhelming, especially when you’re frequently visiting your rheumatologist. However, it’s crucial not to overlook the importance of your primary care doctor (PCP). Let’s explore how a good relationship with your PCP can benefit your heart health, coordinate your care, and keep you up-to-date on vaccinations.

The Importance of Cardiovascular Health

Heart health is a critical aspect to monitor when living with an autoimmune condition. Conditions like rheumatoid arthritis, lupus, and psoriatic arthritis increase the risk of cardiovascular disease due to chronic inflammation. Your PCP is essential in regularly checking your blood sugar, cholesterol, blood pressure, and weight, ensuring these risk factors are controlled.

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Can Your Medications Cause Lupus?

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Drug-induced lupus, a form of lupus caused by certain medications, and not something you hear much about. It differs from the regular “systemic” lupus in multiple ways, including the expected symptoms, the positive blood tests and the prognosis. 

What is Drug-Induced Lupus?

We’ve all heard of lupus, but did you know there’s a version that can be triggered by medications? It is called drug-induced lupus. Unlike the more familiar systemic lupus erythematosus (SLE), which is a chronic autoimmune disease, drug-induced lupus occurs when your body’s immune system reacts to a specific medication.

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