I'm enjoying my second remission, which has lasted over five years with no flares or relapses. I don't need any medications and I no longer see a rheumatologist. Once I achieved remission, the rheumatologist advised that I didn't need to see him any more and indicated that avoiding strenuous exercise, especially stair-climbing might help prevent relapse. My first remission lasted thirteen years. Some people are one and done; I'm hoping I'm two and done.