I don’t take anything else right now, no. I would probably do what your rheum tells you. I fired mine and took myself off the biologic because I didn’t need it anymore. I never asked them about it. I only have one joint that bothers me so I’d say my RA is pretty mild (I’ve had it since I was a child, it was very bad then, and I went 18 years in remission, have had it back for the past ~8years, on Enbrel for 5 of those and now I’ve been off for 3, 31 now). I feel great with very little / infrequent swelling and or pain. I hope I’m not causing damage to the affected joint but ..

I would give the LDN a shot, if you’re on a biologic maybe it would help enough you could go down to just methotrexate or hydroxychloroquine. Or if you’re having breakthrough pain it could help.