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ditto premenstrual flares are common, so I very much doubt that the endocrinologist can do anything for you as it is unlikely that you have anything going on hormonally, besides the normal fluctuations in hormones during your monthly cycle.

Premenstural flares are a pain, but pretty normal with lupus - maybe your dermy doesn't realise this ?

hope you feel better soon, it does sound like you need to increase your imuran to get things under control, either that or swap on to another drug (cellcept etc).

feel better soon

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