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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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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,
Root cause of lupus research

New Research May Have Identified a Root Cause of Lupus

Lupus, a complex autoimmune disease, affects over a million people in the U.S. Researchers at Northwestern Medicine and
Sea moss along the coast

Sea Moss as a Lupus Prebiotic

Patients ask about Sea Moss as a Lupus Prebiotic: Sea moss was never on my radar until 2022-2023.
Male lupus patient with a mask

“Do I need a mask after vaccination?” Now here is the truth

Please continue to protect yourself as you did before if you have lupus or another systemic autoimmune disease
Coronavirus vaccine for COVID-19 and lupus patients

COVID Vaccine for Immunocompromised Patients and What Drugs to Stop [December 2023 UPDATE]

The American College of Rheumatology Provides Guidance for stopping drugs to enhance the COVID vaccine for immunocompromised patients
Text stating Mitochondria is the Powerhouse of the Cell a cause of fatigue in lupus

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

Abnormal mitochondria may play a role in fatigue in lupus: Exercise and NAC supplements appear to help February
The endocrine system and lupus

Lupus and The Endocrine System

Lupus, a complex autoimmune condition, impacts various systems in the body, including the endocrine system. The endocrine system
exercise and lupus photo of a woman on a stationary bicycle

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

Weight loss & exercise provide many benefits to lupus patients. Healthcare providers consider exercise as “free medication” with
Newspaper on fire about lupus patients and COVID-19 vaccines

Provocative Advice: Lupus Patients need COVID Vaccines [2021]

Evaluation and recommendations by noted lupus experts: Lupus patients need COVID vaccines Hot off the press from Lupus
Lupus eye

Lupus Eyes

Lupus, as well as its treatments, can potentially affect the eyes.  Understanding the impact of lupus on eye
Lupus and the digestive system

Lupus and The Digestive System

Systemic lupus erythematosus (SLE), commonly known as lupus, is an autoimmune disorder that can affect nearly every organ
Lupus medication list with drug allergy list including sulfa and Bactrim antibiotics

Good Advice on Lupus and Bactrim [per sulfa antibiotic research]

Lupus and Bactrim: List sulfa antibiotics (like Bactrim) in your allergy list if you have lupus Lupus patients
Dr. Donald Thomas gets the COVID-19 vaccine

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
Lupus and the urinary system

Lupus and the Urinary System

Kidney inflammation (lupus nephritis) occurs in around 45% of people who have systemic lupus erythematosus (SLE). Therefore, lupus
Probiotic supplements and lupus

Lupus and Taking Probiotics/Prebiotics: The truth [Updated JUL ’23]

Lupus and taking probiotics: Should you take probiotics if you have lupus, and what are the best probiotics
dry skin close up on the face of a woman

Lupus and Dry Skin

Lupus, a complex autoimmune disease, commonly affects the skin, including causing dry, itchy skin. Fortunately, a lot can
Sleep hygiene recommendations for lupus patients

Lupus and Sleep: Strategies to Sleep Better!

Lupus and Sleep Problems are Common: Strategies to improve your sleep (October 2024 Update) Tips on better sleep
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 or other cannabis products for lupus?
Two thumbs up

FDA approves Benlysta for lupus nephritis!

1st drug ever FDA-approved to treat lupus nephritis ​Historic mile-stone! ​ December 16, 2020: The FDA approved on
Purple ribbon symbol for lupus flares

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
salmon for anti-inflammatory diet with vegetables

Lupus Anti-Inflammatory Diet: Lifestyle changes advice [January 2025]

Eating a diet high in foods that decrease inflammation while avoiding or minimizing foods that increase inflammation can
Lupus symptoms in men

Symptoms of Lupus in Men

While lupus is more common in women, 10% of lupus patients are men. Understanding the symptoms of lupus
Immunosuppressants and COVID vaccine ACR guidelines and recommendations

Immunosuppressants and COVID Vaccine: Fundamentals in the new guidelines

Immunosuppressants and COVID vaccine: which you should stop and not stop American College of Rheumatology Clinical Guidance Summary UPDATED
Photo of a black woman getting a botox injection

Botox Injections and Lupus

If you have lupus and are considering Botox injections for cosmetic or medical purposes, it’s important to understand
Lupus question should I get a 5th COVID vaccine and Evusheld

Do I need a 5th COVID Vaccine AND Evusheld if I have lupus? [December 2023 UPDATE]

December 2023 Update: Yearly Fall COVID shots and a replacement for Evusheld The coronavirus that causes COVID-19 has
Anti-SSA (anti-Ro) in a lupus patient

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
Illustration of a clipboard, doctor and thyroid

Lupus and Thyroid Medications

Lupus and thyroid disease go hand in hand. The thyroid gland, which is situated at the front of
Stomach pain in lupus

Lupus Stomach Medications: Gastrointestinal Symptoms

Gastrointestinal symptoms and problems are common in lupus patients and can significantly impact their quality of life. In
A lupus Coombs test being done in a lab

Understanding the Lupus Coombs Test: Know your labs! (October 2024 Update)

The Direct Coombs test is also known as the direct Coombs antibody test and the direct antiglobulin test
Low vitamin D levels can make lupus worse

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
Man with lupus with hands on his chest during a heart attack

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
Lupus headaches

Lupus Headaches: Causes, Symptoms, and Treatment

Lupus, or systemic lupus erythematosus (SLE), is an autoimmune disease that affects multiple organs and systems. One of
Woman with lupus helping lupus research for the Lupus Foundation of America

Share Lupus Experiences Now: Help current research on lupus

IF YOU HAVE LUPUS OR ARE A CAREGIVER: Help current research on lupus by sharing your experiences with
Early signs of lupus in females

Early Signs of Lupus in Females

Lupus, a chronic autoimmune disease, predominantly impacts women. Around 90% of lupus patients are women, while 10% are
Medication blister packet

Heparin versus Warfarin for Lupus

Lupus can cause blood clots in many different ways. In addition, lupus patients are at higher risk of
Man with yellow eyes due to jaundice from hepatitis

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
Arm wrestling to see which is better for lupus nephritis: Lupkynis or Benlysta

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
Woman holding thermometer to head during what is a lupus flare

What is a Lupus Flare: Prevent and Treat [January 2025]

Most people with systemic lupus erythematosus (SLE) will experience a lupus flare. Many have multiple flares. In this
News Flash COVID-19 vaccine for lupus patients

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
White woman doctor giving female lupus patient a flu shot

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
Questions about lupus treatments and living with lupus

Living With Lupus Blog: The Lupus Encyclopedia – Q & A Video

Dr. Donald Thomas Answers Lupus Patients’ Questions on His Living With Lupus Blog: The Lupus Encyclopedia Watch this
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 creatine phosphokinase (CPK)

Lupus and Creatine Phosphokinase

Systemic lupus erythematosus (SLE), commonly known as lupus, is a complex autoimmune disease that can affect multiple systems
Melatonin being produced by the pineal gland in lupus

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
Dr. Don Thomas explains ANA negative lupus

Can You Have Lupus With a Negative ANA Test? “Yes you can!” (October 2024 Update)

Protect yourself from medical mistakes. A study by a large group of international lupus experts (Systemic Lupus International
Lupus life expectancy

Understanding Lupus Life Expectancy

Living with lupus is a journey marked by uncertainty. One aspect that often weighs on individuals is the
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

Angela Deem of 90-Day Fiancé

  ​A gift for Christmas 2020, since I’m a 90-Day Fiancé fan. Angela wishes me a Merry Christmas and
Bisphosphonate drugs and lupus

Bisphosphonate Drugs and Lupus

Many SLE patients have fractures in their spine (vertebral fractures), and around half do not realize it. After
Normal SD-OCT in a lupus patient

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