[Jeffrey Pepper]

I have been on Plaquenil since about 1998 for rheumatoid arthritis and started Ofev just about a year ago, I take 200 mg of Plaquenil twice a day and have been since starting. I was started on Ofev  150 twice a day in March of last year after a diagnosis of IPF in January, 2022 after a lung biopsy, which followed a period of hospitalization in October, 2021 with interstitial lung disease. I was hospitalized again in February, 2022 for the same reason,  Since starting on it, I had a lot of stomach issues from the Ofev and the dosage was reduced to 150 once a day last June and remains there. I take Protonix 3400 mg for the stomach issues at present and that keeps stomach issues mostly at bay. I also have some loss of appetite, resulting in, so far, a 14 pound weight loss (which I can’t say I mind). My lung function has decreased slowly over the past year. I remain on 4 liters/min of oxygen 24/7, having increased from 2 liters in January of last year. I also have a monthly infusion of a biological for my RA.