--and also with the idea that a drop to 0.07 may indicate that the therapy is working at least a bit, but it is well within the range of statistical noise so it may indicate a small or even no response. (Fortunately the values did not show an increase.)

Beyond checking skin biopsy values, it may be wroth it to add other immune modulators--there are certainly people who are on multiple ones--but this requires a thorough discussion with the doctors to talk about proposed advantageous effects versus deleterious ones. Many immune suppressors will make you more vulnerable to infection, as well as have metabolic effects on bone and muscle, so the good and the bad have to be weighed against your current symptoms and level of debilitation.