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Now let's head to the show.

Hey, everyone.

Welcome to Dr. Rucho.

This is Dr. Rucho.

Today, let's jump into some listener questions and let me lead by saying I'm currently feeling a little slow.

I'm on the cold turkey train out of caffeine town. I felt like I was consuming caffeine too often. I started having the feeling that if I didn't have caffeine, my brain started feeling slow. Not that I felt like I'd like to feel faster from the caffeine, but without it, I felt like I was

slower than normal, which told me I was getting to a point where it was too much.

So now I am a few days into a cold turkey off of caffeine, and I'm feeling a little slow.

So I have to admit, I'm working for you today because I do not want to be doing this.

I'd rather be doing something more mindless rather than researching some of these questions

and kind of putting my brain in high gear here.

But you guys mean a lot to me.

So I will soldier on and we will jump in with the first question, which is an audio question from Cody.

Hi, Dr. Ruchio, my name is Cody, and I have a few questions regarding an autoimmune disease

rarely talked about in ankylosing spondylitis.

I was diagnosed a few years ago by my rheumatologist, and I do test positive for the HLAB-27 gene marker, which I'm told is the known carrier for the

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