Typically, doctors will start with the least amount of intervention needed to see results. This means that it may take some time to find that sweet spot that works best for you with the least amount of side effects. It can be frustrating to discover that your, once effective, treatment plan is no longer working for you like it once was. Try not to be discouraged, things often need adjusting and your Rheumatologist will help you stay on top of your treatment and make changes as needed to meet your goals. In addition to discussing any concerns with your doctor, this article offers some helpful tips on how to know when it may be time for a new treatment plan:https://rheumatoidarthritis.net/living/when-is-it-time-for-a-new-treatment-plan/