I saw my rheumy today, Lene.  She wants to put me on a biologic...either Humira or Simponi.  My RA is getting worse.  Sometimes I can only walk a few blocks before my ankles start throbbing, even with my orthotics.  My wrists are still swollen.  My knees and hips are better though, and my hands are better.  The fatigue is awful.  I struggle to work and back home each day and then sleep.  I sleep most of the weekend away, too.  My doc doesn't like this. So...I wasn't quite ready to hear this, so I put her off.  Told her we could try MTX for another three months and see, but I don't think I will wait that long. I just need a day or two to get my mind around taking a biologic.  I called my insurance company, and Humira is covered.  The doc just has to get the preapproval and also the preapproval from the specialty pharmacy.  I have the numbers for the doc to call.  My copay will only be 20.00 thank goodness.  Anyway, I think I will choose Humira. I may wait until Sept to call her back and tell her I am ready, unless it gets even worse. You know, before May you kept telling me to see another doc and that you thought I had RA.  I'm glad I found this doc when I did, because my RA is getting more and more aggressive for some reason.  Thanks again, Lene, for all you do for us here.   Almost forgot to tell you I asked about the folic acid and MTX. She said folic acid has been added to our food since 2006 and unless I eat a really unhealthy diet, I should not need folic acid.  She said a lot of docs still prescribe it, but it isn't necessary at the doses given for RA now since so much of our food are supllemented w/folic acid.  My pharmacist told me the same thing.   V