After 35 years since diagnosis it is the worst it has ever been, but it’s my normal and I’ve learned how to live a great life with it. The fact that I now have an additional auto immune disease makes it a bit more challenging. My co morbidity is colitis. The combination of two autoimmune diseases is called poly autoimmunity. The combination of three or more autoimmune diseases is called multiple autoimmune syndrome. (MAS). I hope to not go there!