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I made up a mnemonic for the four main causes of relapse in autoimmune patients:

Stress

Heat

Infection

Tiredness

These four still plague my life every single day). Currently I have an infection – I have constant issues with my toenails and because of the numbness don’t feel the ingrowing nails. I dug out the latest on my big toe on my right foot and it seems to be infected now, yay! Also it’s summer so it’s hotter, and because of the pain I am not sleeping a lot. This all, obviously, causes me stress. So atm all my symptoms are going haywire.