Tremfya for psoriatic arthritis Fred's journey

[Bill]

...........and I thought I was stubborn. Like everyone else here Fred I don't like seeing you suffer. Waiting between treatments and "suck it and see" are inevitable features of psa, but I don't see much sense in waiting a further four months if you are already in pain and could be seen sooner. And no, you wouldn't be offered dmf as it isn't recommended for psa, even though Jim, Caroline and myself are finding it helpful. (Unlike Caroline, I think that dmf's efficacy is related to it's effect on immune cells in the small intestine, but I guess that is off topic.) I wish you well, Fred.