@vmaynard
Hello. Much empathy for what you've gone through, all of it. I messaged you about UTI prevention, hoping it does help prevent. As you probably know, Actemra/Tyenne renders us immuncompromised, so unable to fight off many infections, particularly respiratory infections. But UTIs are difficult to fight off. Preventing bacteria from going where (or building up) it should not go is more important than ever. Routinely drink lots and lots of plain water (keep your system flushed and not concentrated) and void frequently, even before you feel the urge. UTIs not treated soon enough can lead to sepsis, as you surely know. Some can be "silent" but I'm guessing that most are terribly painful/uncomfortable. I hope you stop getting them and can stay off of antiobiotics.