Thanks for watching! 🙌 What are your experiences with methotrexate? Have you found it helpful in managing your condition? Share your thoughts, questions and experiences below - let's get a conversation going! 👇💬 Your insights could really help others in the rheumatology community.
I first try the pill form and it ate bad sores in my mouth and I switched to the injection and it had me in the bed 3 days out of 7. It seemed to make me worse. I was told that I couldn't take the biologics so all I take is pain meds and prescription strength vitamin D and Furosemide for swelling. The Furosemide seems to work better on the swelling than Hydroxychloroquine does. I just see my primary care doctor now because I have went through 4 Rheumatologists that didn't do anything for me except the first one put me on the Methotrexate pill and when I couldn't take the huge sores in my mouth he said there was nothing else he could do for me. The last one I saw was horrible. I told her how bad my feet hurt and she looked at me and said "What do you want me to do about it" with a horrible attitude. I walked out of there and never saw another Rheumatologist. I also have degenerative disc disease. You know the pain it can cause because you have arthritis but the Rheumatologists I have seen couldn't care less about me. I wish all Rheumatologists were as nice as you and understood what we go through. I've been living with both diseases since 1999.
I have taken methotrexate for now over two decades for my moderate to severe arthritis. Off and on while i was trying to get pregnant and then nursing my baby. I also take Xeljanz now along with methotrexate. I think it is the best combination for controlling my disease. Xelanz just two years ago was a life chager! I exercise and watch my diet as well, fyi.
@@tinamitiguy3959 Is Xeljanz is really helpful? I'm taking MTX for 18 yrs,having very serious side effects in last few years. Xeljanz is very costly in India:66000 rupees as against many tofacitinb based drugs at less than 3000 rupees (60 tabs)..
@@tinamitiguy3959 I got shingles and stopped taking Xeljanz and got scared. I have been thinking about trying it again because Enbrel and humaria haven’t worked.
Hey doc! Im a radiologist and also a patient with psoriatic arthritis, can u talk about PSA and metabolic syndromes.. as very few videos are there on this. Would love to know your insights on how to manage this. Hope you read this comment.😅
Dr. Micah Yu thank you so much for talking about Methotrexate. I was diagnosed with JIA at 10yrs. I was first put on Methotrexate in my teens at 15mg. It worked wonders. When I had a bad flare I was started again on the same dose, together with HCQS as we call it in Kenya. I got infected with TB twice and it had to be dropped and I was put on Leflunomide. I got diagnosed with Bronchiectasis and my left lung collapsed. I'm currently on treatment for pulmonary aspergillosis for 2 years now. For some time now I've been having inflammation on my fore-fingers and feet. My rheumatologist suggested putting me back on Methotrexate but am afraid because of the lung issue, and aspergillosis...kindly what's your take on this doctor? Thank you
I've been taking MTX for 18 years,now it is confined to wrists ónly on a modest form and deformities have been avoided. Initial side effects were serious skin diseases. The other side effect of Overthinking led me to stop serious reading. I've never noticed it in any discussions. After 15 years of taking MTX I have found other serious side effects creeping in. These are peripheral neuropathy, erosion of cartilage of shoulder, back pain, Oedema of feet etc. I don't have diebetes neither I have met with any accident. I'm 85 years of age. There is remission of RA but side effects mentioned above has made my horrible right now.
Thank you lovely doctor. If we take vit C and other vitamins for weak immune system can the immune system become stronger and attacks our joints even.more. is this a mit?
I know that anything that raises our immunity can cause the disease to be active. But then again, our bodies are different, and we react differently. Vitamins do help. Also, when taking Calcium, take it with Vitamin D3 for easier absorption.
I'm taking it by injection weekly, along with hcq and prednisone. Hands and wrists very inflamed, still. I'm losing a ton of hair. I want to get off the metho and try the carnivore diet. These meds are insane. I'm just shy of 68 and was diagnosed 10 months ago with sero-negative RA. What a horrible medical condition. I'm an artist, so fighting this in my hands and wrists just sucks. However, I'm grateful to have had this happen at this age and not 20 or 40 years ago.
Please try the Wahls Paleo Protocol (Level 2 protocol) from the book The Revised and Expanded Edition of The Wahls Protocol. You can also Google for Dr Wahls TED talk, "Minding Your Mitochondria" where she talks about how she reversed her own MS disease. I have used her Level 2 protocol to reverse several systemic autoimmune diseases (Lupus, Sjogren's, dermatomyositis, etc).
@@bearcamping600 Thanks. I'll check the Ted talk out tomorrow. I have Sjogrens too and fibromyalgia (35 years). I just ordered the book. Thanks so very much for telling me about all this.
@@happy.homestead Once you have looked at the Wahls Paleo Protocol, please also look up Dr Brooke Goldner's videos on making green veggie smoothies. (She puts at least 16 oz of cruciferous veggies in her green smoothie). This is the easiest way for me to consistently eat lots of veggies daily. (Please note that Dr Brooke Goldner reversed her own Lupus disease).
I enjoy your videos, but abhor the enthusiasm in suggesting toxic prescription drugs. As a victim of the consequences of RA drug treatment, it angers me to continually hear doctors offer these drugs and commercials that tout their toxic products. Although I have different degrees of stiff and painful joints in the morning, I would rather maintain my RA through diet and exercise. I have endured a bone marrow biopsy, lymph node biopsy, endoscopy, and colonoscopy, all in hopes of finding the cause of the severe anemia I had developed. Then I fell for the low-dose prednisone regimen. That resulted in two hip replacements and the suggestion of two shoulder replacements! With the use of good quality supplements and maintaining a good diet, I have lowered my inflammation numbers better than any drug has done. My doctor is impressed and said to continue doing what you are doing.
@christineg7888 hello Christine, could you tell us what diet you followed and what supplements also helped you. Thank you for your response for people who want to try an alternative to medication.
@oumismael1064 Google "Dr. Micah Yu RUclips." His videos will populate. Dr. Yu has a video "5 Foods to Avoid + 2 Bonus Foods." It's basically the diet I follow. You will notice other videos Dr. Yu has listed about what to eat and supplements that are helpful. I've done it by trial and error. Be patient. It doesn't happen overnight.
Please try the Wahls Paleo Protocol (the Level 2 protocol) from the Revised and Expanded Edition of The Wahls Protocol. You can also Google for her TED talk called "Minding Your Mitochondria" in which Dr Wahls explains how she overcame her own MS disease. I have been able to reverse my own systemic autoimmune diseases (Lupus, Sjogren's, dermatomyositis, etc) using her Level 2 Protocol.
Can you lose hair on your legs from this, as I’ve lost some lower leg hair recently. Been on it for about 8 months and the only time it seemed to do well was in combination with a steroid. So, I’m probably going to visit about stopping it. Only affected joints is one wrist.
I've been on it for a bit longer then a year and I"ve also lost my lower leg hair. I probably haven't taken enough folic acid. I wasn't very strict to take it but now I wont miss and see if some of it comes back.
I have been on MTX for 16 years, along with folic acid and hydroxychloroquine. I had one failed trial at reduction of MTX. I have had no side effects, and am "in remission on medication ". My inflammation markers are good. I do follow a mostly anti-inflammatory diet, and exercise regularly.
MTX alone didn't put me in remission. I'm starting week 2 of hydroxychloroquine. Hoping that kicks it. I'm mostly good just a bit of swollen hands and feet.
I’ve just started Methotrexate, but it’s not helping… I’m 3 weeks in. 1 pill once a week for 3 weeks, now I’m up to 2 pills a week as of yesterday. I’m in terrible pain. I’m reducing the prednisone as I go too…. I miss the strong anti inflammatory pain killers that I was on. I’m getting blood test too and I see my rheumatologist for the 2nd time again in 3 weeks. I hate all of this
When I had a woman rheumatologist she saw me for only 3 minutes. It was not even 5 minutes. All she did was write my prescription. When I had two male doctors, they saw me for about 30 minutes. The lady was look like she was born in europe
What a horrible, horrible toxic drug. Only prescribed when doctors do not (or want) have budget to prescribe biologics. Be prepared to possibility of awful side-effects and long term damage to your biology after drug accumulation. Be particularly mindful if you are MTHFR omozygote (I suggest you basic genetic testing to discover if you are) and if you are, WHATEVER your doctor says, DO NOT take synthetic folic acid after the injections like your doctor will prescribe you, and use a supplement with active folate instead. All of this from personal experience, and something I wished someone would have also told me before starting of teraphy, instead of having to discover by my own, and at a cost.
It’s a powerful drug. With some pretty serious side effects. Ofc, they all have serious side effects. I guess you have to decide on the lesser of two evils.
(a technical comment) PLEASE reduce the compression/limiting on your microphone. It is way too much and sucks up the room ambience and greatly reduces your intelligibility.
Thanks for watching! 🙌 What are your experiences with methotrexate? Have you found it helpful in managing your condition? Share your thoughts, questions and experiences below - let's get a conversation going! 👇💬 Your insights could really help others in the rheumatology community.
I first try the pill form and it ate bad sores in my mouth and I switched to the injection and it had me in the bed 3 days out of 7. It seemed to make me worse. I was told that I couldn't take the biologics so all I take is pain meds and prescription strength vitamin D and Furosemide for swelling. The Furosemide seems to work better on the swelling than Hydroxychloroquine does. I just see my primary care doctor now because I have went through 4 Rheumatologists that didn't do anything for me except the first one put me on the Methotrexate pill and when I couldn't take the huge sores in my mouth he said there was nothing else he could do for me. The last one I saw was horrible. I told her how bad my feet hurt and she looked at me and said "What do you want me to do about it" with a horrible attitude. I walked out of there and never saw another Rheumatologist. I also have degenerative disc disease. You know the pain it can cause because you have arthritis but the Rheumatologists I have seen couldn't care less about me. I wish all Rheumatologists were as nice as you and understood what we go through. I've been living with both diseases since 1999.
I have taken methotrexate for now over two decades for my moderate to severe arthritis. Off and on while i was trying to get pregnant and then nursing my baby. I also take Xeljanz now along with methotrexate. I think it is the best combination for controlling my disease. Xelanz just two years ago was a life chager! I exercise and watch my diet as well, fyi.
@@tinamitiguy3959 Is Xeljanz is really helpful? I'm taking MTX for 18 yrs,having very serious side effects in last few years. Xeljanz is very costly in India:66000 rupees as against many tofacitinb based drugs at less than 3000 rupees (60 tabs)..
@@tinamitiguy3959 I got shingles and stopped taking Xeljanz and got scared. I have been thinking about trying it again because Enbrel and humaria haven’t worked.
Hey doc! Im a radiologist and also a patient with psoriatic arthritis, can u talk about PSA and metabolic syndromes.. as very few videos are there on this. Would love to know your insights on how to manage this. Hope you read this comment.😅
Dr. Micah Yu thank you so much for talking about Methotrexate. I was diagnosed with JIA at 10yrs. I was first put on Methotrexate in my teens at 15mg. It worked wonders. When I had a bad flare I was started again on the same dose, together with HCQS as we call it in Kenya. I got infected with TB twice and it had to be dropped and I was put on Leflunomide. I got diagnosed with Bronchiectasis and my left lung collapsed. I'm currently on treatment for pulmonary aspergillosis for 2 years now. For some time now I've been having inflammation on my fore-fingers and feet. My rheumatologist suggested putting me back on Methotrexate but am afraid because of the lung issue, and aspergillosis...kindly what's your take on this doctor? Thank you
I've been taking MTX for 18 years,now it is confined to wrists ónly on a modest form and deformities have been avoided. Initial side effects were serious skin diseases. The other side effect of Overthinking led me to stop serious reading. I've never noticed it in any discussions.
After 15 years of taking MTX I have found other serious side effects creeping in. These are peripheral neuropathy, erosion of cartilage of shoulder, back pain, Oedema of feet etc. I don't have diebetes neither I have met with any accident.
I'm 85 years of age. There is remission of RA but side effects mentioned above has made my horrible right now.
Side effects are horrible and doctors awfully negliglent about them, a complete shame
@@jackics6540 They aren't side effects really. They are effects. Using the term minimises the impact.
Hello, if I stop using the medication will I regain the hair I lost ?
Thank you lovely doctor. If we take vit C and other vitamins for weak immune system can the immune system become stronger and attacks our joints even.more. is this a mit?
I know that anything that raises our immunity can cause the disease to be active. But then again, our bodies are different, and we react differently. Vitamins do help. Also, when taking Calcium, take it with Vitamin D3 for easier absorption.
I am using MTX can I drink Coffee? There is a mix of options
I'm taking it by injection weekly, along with hcq and prednisone. Hands and wrists very inflamed, still. I'm losing a ton of hair. I want to get off the metho and try the carnivore diet. These meds are insane. I'm just shy of 68 and was diagnosed 10 months ago with sero-negative RA. What a horrible medical condition. I'm an artist, so fighting this in my hands and wrists just sucks. However, I'm grateful to have had this happen at this age and not 20 or 40 years ago.
Please try the Wahls Paleo Protocol (Level 2 protocol) from the book The Revised and Expanded Edition of The Wahls Protocol. You can also Google for Dr Wahls TED talk, "Minding Your Mitochondria" where she talks about how she reversed her own MS disease. I have used her Level 2 protocol to reverse several systemic autoimmune diseases (Lupus, Sjogren's, dermatomyositis, etc).
@@bearcamping600 Thanks. I'll check the Ted talk out tomorrow. I have Sjogrens too and fibromyalgia (35 years). I just ordered the book. Thanks so very much for telling me about all this.
@@happy.homestead Once you have looked at the Wahls Paleo Protocol, please also look up Dr Brooke Goldner's videos on making green veggie smoothies. (She puts at least 16 oz of cruciferous veggies in her green smoothie). This is the easiest way for me to consistently eat lots of veggies daily. (Please note that Dr Brooke Goldner reversed her own Lupus disease).
@@bearcamping600 Will do!! Thank you so much!!
I stopped taking mine and started using fasting instead.
What kind of fasting has worked for you?
@@tinamitiguy3959 water fasting. Complete ceasing of all nutrients for two days (at least).
Is hydroxichloroquine same medicine?
I enjoy your videos, but abhor the enthusiasm in suggesting toxic prescription drugs. As a victim of the consequences of RA drug treatment, it angers me to continually hear doctors offer these drugs and commercials that tout their toxic products. Although I have different degrees of stiff and painful joints in the morning, I would rather maintain my RA through diet and exercise. I have endured a bone marrow biopsy, lymph node biopsy, endoscopy, and colonoscopy, all in hopes of finding the cause of the severe anemia I had developed. Then I fell for the low-dose prednisone regimen. That resulted in two hip replacements and the suggestion of two shoulder replacements! With the use of good quality supplements and maintaining a good diet, I have lowered my inflammation numbers better than any drug has done. My doctor is impressed and said to continue doing what you are doing.
It's his channel!!!
Thanking you for sharing your story. I’m going to follow your program of diet and exercise to keep my joint discomfort at bay.
Thanks for sharing your story but we cannot expect him to change the way he presents his videos, I'm not here for that, I'm here to learn.
@christineg7888 hello Christine, could you tell us what diet you followed and what supplements also helped you. Thank you for your response for people who want to try an alternative to medication.
@oumismael1064 Google "Dr. Micah Yu RUclips." His videos will populate. Dr. Yu has a video "5 Foods to Avoid + 2 Bonus Foods." It's basically the diet I follow. You will notice other videos Dr. Yu has listed about what to eat and supplements that are helpful. I've done it by trial and error. Be patient. It doesn't happen overnight.
Got SS plus RA,any advice for supplement???
Please try the Wahls Paleo Protocol (the Level 2 protocol) from the Revised and Expanded Edition of The Wahls Protocol. You can also Google for her TED talk called "Minding Your Mitochondria" in which Dr Wahls explains how she overcame her own MS disease. I have been able to reverse my own systemic autoimmune diseases (Lupus, Sjogren's, dermatomyositis, etc) using her Level 2 Protocol.
Can you lose hair on your legs from this, as I’ve lost some lower leg hair recently. Been on it for about 8 months and the only time it seemed to do well was in combination with a steroid. So, I’m probably going to visit about stopping it. Only affected joints is one wrist.
it's low dose chemo so very likely you will lose hair.
I've been on it for a bit longer then a year and I"ve also lost my lower leg hair. I probably haven't taken enough folic acid. I wasn't very strict to take it but now I wont miss and see if some of it comes back.
Can psoriatic arthritis cause inflammation and pain in the ribs of the back? (Rather than sternum)
Is it advisable to take it when one is suffering from ILD? Especially when one is a senior citizen and also suffers from RA
I have been on MTX for 16 years, along with folic acid and hydroxychloroquine. I had one failed trial at reduction of MTX. I have had no side effects, and am "in remission on medication ". My inflammation markers are good. I do follow a mostly anti-inflammatory diet, and exercise regularly.
MTX alone didn't put me in remission. I'm starting week 2 of hydroxychloroquine. Hoping that kicks it. I'm mostly good just a bit of swollen hands and feet.
My side effects: low platelet count and later wbc lowered on lower dose
I was told the Methotrexate was causing all the growths on all my joints on my hands. So I stopped it. I don’t feel any different
I’ve just started Methotrexate, but it’s not helping… I’m 3 weeks in. 1 pill once a week for 3 weeks, now I’m up to 2 pills a week as of yesterday. I’m in terrible pain. I’m reducing the prednisone as I go too…. I miss the strong anti inflammatory pain killers that I was on. I’m getting blood test too and I see my rheumatologist for the 2nd time again in 3 weeks. I hate all of this
I take 8 pills a week each 2.5 mg. I haven’t felt much difference honestly. I would talk to your doctor about Humaria or Enbrel.
@ thanks I will. I need to get my head around a totally different diet too. I’ve quit coffee and dairy and beef but it’s not enough
When I had a woman rheumatologist she saw me for only 3 minutes. It was not even 5 minutes. All she did was write my prescription. When I had two male doctors, they saw me for about 30 minutes. The lady was look like she was born in europe
What a horrible, horrible toxic drug. Only prescribed when doctors do not (or want) have budget to prescribe biologics. Be prepared to possibility of awful side-effects and long term damage to your biology after drug accumulation. Be particularly mindful if you are MTHFR omozygote (I suggest you basic genetic testing to discover if you are) and if you are, WHATEVER your doctor says, DO NOT take synthetic folic acid after the injections like your doctor will prescribe you, and use a supplement with active folate instead. All of this from personal experience, and something I wished someone would have also told me before starting of teraphy, instead of having to discover by my own, and at a cost.
See my comment just under yours. I refused to take it
I take 5 pills every week along with folic acid.
@@claudiajherrera Methotrexate is weekly is always weekly .It is a cytotoxic drug and too much will kill
What about Rinvoq?
It’s a powerful drug. With some pretty serious side effects. Ofc, they all have serious side effects. I guess you have to decide on the lesser of two evils.
Makes me so tired.
(a technical comment) PLEASE reduce the compression/limiting on your microphone. It is way too much and sucks up the room ambience and greatly reduces your intelligibility.