I found that adding 2000 mg of Omega's per Pharm. recommendation for this, really helped me.

Hi Nick,how are you my RA friend? How are things in DC? Or Northern Va. So hot and humid in Ala. Take care my RA friend. Big hug
Shirley Raye

Are you anemic? You take Rx folic acid?

I also take supplements to get more energy, such as CoQ10.

Likewise, I found out at Red Cross my hemoglobin was too low to donate blood. I use iron supplements and make better red blood cells which increases energy.

https://my.clevelandclinic.org/health/drugs/145...

I see that I have bought this iron supplement 18 times...
https://a.co/d/9K03IJD

Dave, get a good Dr. One that can and will help you. I have been there. But today there is Drugs. that will help you. Have been on all of them,but Actrema. Has worked the best for me. Hang in there my RA friend. Shirley Raye