Good morning, @bbmj06 Having those painful joints must really impact your day! I wonder if there’s an alternative medication your doctor could try for you to see if it makes a difference? Have you been able to see a rheumatologist to see if this is arthritis? For a time I had some serious issues with joint issues from a medical condition (not related to yours). Until we learned the cause, acupunture treatments helped lessen the pain. Just make sure it’s a licensed practitioner. It’s just a thought, but have you ever tried acupunture?