That is a good point Janeig - I have asked several times but my doctors refuse because they say that there are risks associated with HRT and that my problems aren't directly related to hormones. I was through my menopause when I was 48 - no real symptoms apart from periods stopping and a very high FSH reading that told us that I'd come out the otherside. Same goes for switching to natural dessicated thyroxine rather than the synthetic version as I've asked about. I don't want to self medicate but I often wonder if the fillers in the Levothyroxine mightn't be a contributor as I've been taking it for about 14 years now. Same also goes for B12 injections because my serum B12 is under 500 - but they say it's still well within normal range so I just take sublignual B12 and it makes no difference to my neuro symptoms.

If any drug has brought this on in the form of toxic poisoning I think it is probably Hydroxichloraquine or possibly Methotrexate - or perhaps the combination of both. I did read an article in a reputable medical journal (BMJ I think) that said Hydroxichloraquine can occasionally cause severe neuropathic symptoms that can even lead to irreparable paralysis and I took it for 18 months.

Eventually I realised it was responsible for anaphylaxis that was making my face very painful and swollen and I stopped but it could have been the culprit because the dates fit. I don't think the methotrexate caused it and I have to say that these hot flushes started in my wrists and up my arms when I was still perimenopausal a long time ago - before the RA started attacking my joints. They wereren't unpleasant - just weird - but this points to a hormonal element I suppose.

But as Enbloc confirms - if it were all due to hormones or toxicity then it wouldn't explain why the pain goes when I'm on a higher dose of steroids nor why my ESR fluctuates according to the level of nerve pain I'm experiencing.

So I have to trust that my doctors are right about HRT etc but always mindful that they might not be!