I went Mediterranean and low gluten diet. Researched my supplements to find those that might mitigate IL-6.
Went on statins for cardiac risk reduction with CoQ10.
Melatonin ,dark chocolate, stevia to avoid sugar, vitamin D3
and DHEA 10 mg OTC. All of the above are anti inflammatory. Never needed Actemra. Green iced tea in
place of diet cola. Cut alcohol drinks to every other day or less. I have access to good care and doctors.
I am retired so I have time for active stretching with some yoga and Tai chi moves for 1/2 hr every morning when I don’t golf. Plenty of steps on my fitness watch several days a week.