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Dr. Don Thomas, MD

I am Dr. Donald Thomas, MD, a rheumatologist treating hundreds of lupus patients for over 30 years. Read my first blog post here to understand why I started this website and blog about “The Lupus Encyclopedia” and “The Lupus Secrets”.

Dr. Don Thomas also enjoys educating and empowering doctors, medical students, nurses, physician assistants, nurse practitioners, and patients.

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Beat cancer woman with pink gloves and pink ribbon for breast cancer

Lupus and Cancer Risk: Learn to Prevent Cancer! [2023]

I just realized that many websites discussing lupus and cancer are outdated, using old research information. So, I
Lennon Wall graffiti in Prague Czech Republic that says Lucy in the Sky with Diamonds

Lupus and “Lucy in the Sky with Diamonds”

What do the following have in common? LupusA drawing by a 3-year-oldJulian LennonFlowers and gardening suppliesAlice in WonderlandPink
Text stating Mitochondria is the Powerhouse of the Cell a cause of fatigue in lupus

Fatigue in Lupus and Sjogren’s [February 2023 Update]

Mitochondria found to be abnormal in SLE patient by the NIH. Exercise repaired the mitochondria and energy levels

What to Know about a Lupus Nephritis Urine Sample [2022]

Lupus Nephritis Urine Samples: What They Tell Us A lupus nephritis urine sample is important for all SLE

COVID Vaccine and Lupus: Join in a Research Study Now

How the COVID Vaccine and Lupus Interact is Important to Figure Out: Consider Joining this NIH Research Study
Asian woman doctor reading a chest x-ray showing pneumonia

New Pneumonia, Shingles, and Hepatitis Vaccine Recommendations [2022]

Centers for Disease Control 2022 Recommendations In February 2022, the CDC came out with its new vaccine recommendations.

Research Results in Dealing with Autoimmune Disease Fatigue Now

The causes of fatigue and dealing with autoimmune disease fatigue. ​ Tips on how to improve energy with
Discoid lupus on the chest of a white woman Saphelo for lupus

Saphnelo for Lupus: One of Two Approved Biologics [JUN 2023]

Saphnelo for Lupus: It improved lupus in all domains tested. Anifrolumab (Saphnelo) has the lupus community excited a
COVID booster vaccine button

COVID Vaccines, Evusheld & Stopping Drugs for Shots [FEB 2023 Update]

Stopping Methotrexate for 1 Week as Effective as 2 Weeks after Flu shots [FEB 2023 Update) This was
Proteinuria in lupus nephritis. This is what a kidney looks like

Proteinuria in Lupus Nephritis: Video tips and the bottom line [FEB 2023 UPDATE]

UPDATE FEB 2023: Watch YouTube video about diagnosing lupus nephritis (LN) early, how it is diagnosed and what
The Lupus Encyclopedia book cover 2nd edition

Three Potential Book Covers for The Lupus Encyclopedia 2nd Edition

THE VOTE IS IN! See the new book cover below 315 people voted for the new book cover
blood test for Epstein Barr virus and mononucleosis

Epstein-Barr Virus Vaccine to Prevent Lupus and Other Diseases

An Epstein Barr virus (EBV) vaccine to prevent lupus? EBV infection may be a common trigger, causing the
Lupus question should I get a 5th COVID vaccine and Evusheld

Do I need a 5th COVID Vaccine AND Evusheld if I have lupus?

March 2023 Update: A 5th vaccine or Evusheld are not recommended anymore As of this moment, 90% of

Anti-SSA Test (anti-Ro): Know Your Labs

What is the anti-SSA test? What the lab technician sees under the microscope when testing a patient for

Now Research Shows: Lupus tendinitis, common cause of lupus pain

…

Lupkynis vs Benlysta for Lupus Nephritis: Dr. Thomas Has His Verdict!

Which is better for lupus nephritis? ​Here is my answer! Which is better for lupus nephritis? Benlysta or

Lupus and Sleep: Strategies to Sleep Better!

Lupus and Sleep Problems are Common! Here are simple, effective strategies to improve your sleep Tips on better

The aiSLE DX Flare Risk Index Test: A new lupus lab test

The aiSLE DX Flare Risk Index test The Lupus Foundation of America, in its continuous quest to advocate
Hydroxychloroquine and Plaquenil Top Tips

Top Tips on Taking Hydroxychloroquine for Lupus [Ultimate Guide AUG 2023]

LATEST UPDATE: A nicely done study by Melles RB et al, FEB 2023, Hydroxychloroquine Dose and Risk for

10 Reasons Not to Get a Flu Shot: Learn the Truth Now!

10 Reasons Not to Get a Flu Shot: The Flu Shot is a Life-Saver for Lupus Patients, Other

Bottom Line on Diabetes vs Lupus and Stroke & Heart Attacks

Lupus and Stroke and Heart Attacks: A bigger problem than we thought! We have known for a long
smart phone with apps

Arthritis – “it’s a Pain in the App” [Coping with lupus]

Guest post: One method of coping with the struggles of lupus Living and coping with the challenges of
Dr. Donald Thomas MD holding the new edition Lupus Encyclopedia A Comprehensive Guide for Patients and Health Care Providers

The Lupus Encyclopedia, edition 2: Now Available!

The Lupus Encyclopedia, edition 2: A Comprehensive Guide for Patients and Health Care Providers is now available at

How the Covid-19 Vaccine Works: amazing!

It is amazing how the COVID-19 vaccine works (the mRNA vaccines, especially) It intrigues me how the COVID-19

Benlysta for lupus nephritis: Studies show it is effective

Hot off the press SEP 2020! The future is very bright for lupus treatments!        
exercise and lupus photo of a woman on a stationary bicycle

Weight Loss & Exercise in Lupus: the science & patient view

The video provided below offers valuable insights into practical information regarding weight management and exercise for individuals with

Chromatin antibody: Make sure you know your labs

Know your labs when you have lupus Chromatin is our DNA packaged up nice and neat with other

Rheumatologists: What if hydroxychloroquine eye tests show retinopathy [FEB 2023 Update]

Do not automatically stop hydroxychloroquine if your eye doctor tells you your patient has HCQ-retinopathy! Heed my practical

Lupus and Hepatitis B Vaccine: Endorsed in the CDC guidelines

Lupus and Hepatitis B Addendum: The recommendations for hepatitis B vaccines changed in 2022. The CDC recommended that

The Best Lupus Books? Look in the useful list below

Kelli of “More Than Lupus” describes what she considers the best lupus books ​ What are your favorite
CBD for lupus medical marijuana leaf symbol

CBD for Lupus: Look here for the best advice [2023 Update]

  Medical Marijuana (Cannabis, Cannabinoids, THC, CBD for Lupus)? Should patients use CBD for lupus? With the increasing

Vitamins For Lupus: Avoid some is the best advice

Not All Supplements and Vitamins for Lupus Patients are Safe Vitamins for lupus patients: “Ask Dr. T!” question

Improve Your Life: A Systemic Lupus Erythematosus Flare Test

Revolutionary New Lab Test: Predicts if a lupus patient will have a systemic lupus erythematosus flare! A systemic
Photo of Botox injection syringe

Botox Injections and Lupus

Lupus is a chronic autoimmune disease that affects millions of people worldwide. It can cause a range of

Super spreader COVID-19: Infections surge big due to this [Updated]

Super spreader COVID-19: New study shows the answers in the Annals of Internal Medicine Wear a mask to

How to Stop Lupus Hair Loss:

How to stop hair loss! – Yes! You can do things to help! And learn that much of
Two arm wrestlers representing Saphnelo vs Benlysta

Saphnelo vs Benlysta? What is the Best Medicine for Lupus? [JUN 2023 Update]

Update June 2023 A EULAR 2023 abstract showed that Saphnelo is a disease-modifying agent in the 2-5 year
Pregnant black woman's stomach with a fetus ultrasound at image for having a successful pregnancy with lupus

How to Have a Successful Pregnancy with Lupus [2023 Update)

Updated Part MARCH 2023: Ghalandari et al from the Netherlands reported their results of using Benlysta during pregnancy in

How does Hydroxychloroquine work for Lupus (SLE)? [DEC 2022 Update]

December 2022 update: Hydroxychloroquine is a disease-modifying agent for lupus (along with Benlysta). Antimalarial drugs can treat autoimmune

Covid-19 Vaccine for Lupus Patients: Please get your vaccine

Should We be Recommending the COVID-19 Vaccine for Lupus Patients?: Yes! What I tell my systemic lupus patients

Lupus Flare After Flu Shot? Question of the Day Here

Do Flu Shots Cause Lupus Flares? Lupus flare after flu shot? Question of the day: Dr. Thomas, I

Lupus and Hepatitis C: Lupus Patients Should be Tested for Hepatitis C

The interactions of hepatitis C and systemic lupus is strange, and hepatitis C can mimic lupus … read
Managing Bone Health With Drugs

Managing Bone Health With Bisphosphonate Drugs

Lupus is an autoimmune disease that can affect various parts of the body, including the bones. Individuals with

DHEA and Lupus: Research shows it to be useful and good in some

Other Facts about DHEA and lupus – DHEA and lupus: DHEA stands for DeHydroEpiAndrosterone – It is produced
Malar butterfly rash symptom of lupus

How to Diagnose Lupus: 10 Symptoms

Lupus is a challenging autoimmune disease that can appear differently in each individual. Early diagnosis is crucial for
Lupus and hives on arm

Lupus and Hives

Lupus is an autoimmune disorder that affects many people around the world. It is a chronic condition that

Melatonin For Lupus May be Good Per the Best Medical Evidence [NEW!]

Melatonin For Lupus: What does the Research Show?       (Updated August 2021) Why do people think
Woman taking pills out of a pill box organizer

Hydroxychloroquine Decreases the Risk of Death

Research article shows that taking hydroxychloroquine decreases the risk of death by 83%: Impact of Antimalarial Adherence on
COVID Booster vaccine for lupus patients is possible according to research study

Immunosuppressed Patients Respond to Booster Shots: Hope for a COVID Booster Vaccine for Lupus and Other Autoimmune Disease Patients? [Updated 8/12/21]

  Will a COVID Booster Vaccine for Lupus Patients Increase Response Rates? We do not know, yet. However,
Childhood stress and lupus question answered by Dr. Donald Thomas

Childhood Trauma, PTSD, Racism, Stress, and Lupus

Multiple studies show that stress and trauma increase the risk of developing lupus as well as causing lupus