Sarcasm is an adjusted stress reaction.

I'm pretty sure with RA you're fucked either way, because after the initial yay!malnutrition dance you either get the steroid weight gain or the Methotrexate weight drop (my aunt is still under 6 stone five years after coming off the bloody stuff) and neither of these things have anything to do with trying to do either, and ARGH.

I was going to give you a BE CRANKY but I think I have the ranting covered due to INTERNS. Unless you have interns in your place in which case OPINIONATE.