Hello, I have studied your case with diligence. You are taking lot of medication already. As you have RA test positive prognosis is not too good. Newer biologics have role in RA. There is good role of diet and achieve correction through it You need to avoid bakery items, high protein diet, and curd, milk and milk products. Avoid cold and fermented food, bitter and sour food. Eat fresh fruits, vegetables, salads. Many of my patients get relief by yoga pranayama and sudarshan kriya so you can also do that. I have lot of experience of patient of RA and long term results with allopathic medication are not satisfactory,so consult me directly for further assistence. There is good role of diet and achieve correction through it,for details you can directly contact on my profile http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503 RA can not be cured by allopathy. Ayurveda is more effective in long term. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.