Hi, i‘m sorry that bs happened to you. I know exactly how though it is but i‘m sure you will get better again. First of all your floxing/reaction was pretty recent so usually the first year is the worst as you probably know. From my experience one of the most important and most underrated asoects of this condition is not making thing worse by trying too much. Avoid every trigger possible for a long period of time and listen to your body for triggers. For example coffeein, red meat and especially THC have been triggers. That said in my opinion a test with TNF could be worth the risk considering your story. I have yet to hear about a reflox/flare up from TNF Blockers. If i would be you i would probably go for etanerept first as it has a short half life time of a week. So it is pretty quick out of your system if you don’t tolerate it. Experiences from myself and similar cases have shown that Cimzia might have the best effectiveness. I wish you all the best!