Hello @dontknowitall53 and welcome to Mayo Clinic Connect. I see that @gingerw has joined you and the pair have you shared some additional details.

There was another discussion already going on the topic of biologics so you will notice I have moved your post into that discussion, which you can find here:
- New to biologics and need advise: https://connect.mayoclinic.org/discussion/new-to-biologics-and-need-advise/

Is your main concern adding to your list of side effects?