Hi Leslie,
I’m definitely low disease activity and maybe even in remission although I don’t think so – I think the thing is that the methotrexate and hydroxychloroquine are doing a good job of controlling the disease, with only occasional flares, and therefore the NHS wouldn’t even consider me as a possible biologics person. They do use biologics, but they wait until you’re in dire straits before considering them. Dumb, but that’s the way it is!
I hope you manage to make the right decision for you – I’d jump at the chance myself, if I needed them and was offered, but I know that there is a LOT to consider!