Hi Ajoda: It sounds like you have a medical team that is incorporating both pharmaceuticals (methotrexate) along with proven natural/herbal supplements.The fact that they have you on methotrexate does indicate they suspect RA because that is not normally prescribed for OA while fish oil and glucosamine are recommended supplements for both OA and RA. While five pills may seem like a lot, if this treatment plan is successful, you will find the effort worthwhile and it can prevent future joint damage. Sending you wishes for swift improvement!