I was just diagnosed in August, so I can relate to the feeling of being new with so many questions. What has helped me learn more about the medications and treatments is to listen to podcasts. There are several out there that are mainly geared toward doctors, but I have learned a lot about what to expect and why they are so aggressive with meds now.

Methotrexate, and for that matter , all of the other RA drugs, have different effects on different people. What works for you may not work for me. What causes you terrible side effects may cause me few , different side effects, or none at all. The only way you can know is to try it.
I couldn’t tolerate MTX. I was on it about 6 months. It kept me too nauseous & wasn’t really providing symptom relief. I was switched to leflunomide, which is working great .
I have a couple of friends on MTX that do really well on it. The only issue they have is feeling tired the day after they take it. It’s helped their pain, fatigue, etc a lot !
So give it a good try. But don’t make changes to the prescribed doasage without consulting your Dr. . Good luck!

Aggressive is very important in the beginning to not only stoo the progression of damage but to kick it into remission. It really does set the course for your RA.

Your rheumy is going aggressive which is great. Mine did as well and I did find remission. I had no side effects besides "tiredness" from the mxt. What the disease can do to your insides is worse than what the rare side effects of the meds can do. My opinion. Hugs, good luck.