I agree with En Bloc.

I have been living with this disease for a long time. I tend toward not intervening all the time for symptoms. They do run their course to some extent. Mine wax and wane.

I do best when on the least amount of drugs. Polypharmacy is an issue with this disease so I had genetic testing done to see what drugs my body doesn't metabolize well and it turned out, it was most of them, so, fortunately, I didn't take stuff that would have been very toxic. A lot of rheumatological drugs are very toxic such as methotrexate, so be careful with rheumatologists. Every doc I see wants to fix something with a pill but for me many of those pills make some other issue a lot worse.