@loriea That has happened to me too. Sometimes I have felt like my doctors are missing something. Like maybe there is another autoimmune disease in the mix or some underlying condition that is not being treated. My only diagnosis is RA which has its own complications because it feels like it sometimes goes into remission but then the biologics require constant treatment so you can't just treat it when it flares. So far though, nothing has kept it totally in check. That's why I am so excited about the prospect of GLP-1's being used in the treatment.