Hey there, ! Thanks for sharing what you’re going through. It’s completely understandable to have questions when your doctor suggests changing treatments, especially after being on methotrexate for so many years. A lot of people with RA have had similar concerns when they reach the point where their current medication isn’t working as well as it used to. It may help to learn a little more about biologics and what to expect before making a decision. This article from our community talks more about biologic treatments and some questions you may want to discuss with your rheumatologist. You can access the article here- https://rheumatoidarthritis.net/treatment/biologics. If you have any questions after reading the article, please don't hesitate to reach out. Kindly, Latoya (Team Member)