I have a love/hate relationship with methotrexate. I hate having to take it. I hate the blood tests every other month that I have to get because of it, the dry cough that it has given me and the potential long list of side effects that come with the use of the drug. Fortunately for me, nausea has not been a problem and while my hair has thinned after 8 years of use, I still have some. While some people might question my use of such a drug, I have had to stop using it while on antibiotics several times over the last 8+ years and every time I realized, unfortunately, how much it does help.
Like most of you I get blood tests every two months to ensure no new problems are occurring. The worst potential problem could be liver damage. Once your liver is damaged it is irreversible. I did not know until recently though that most serious damage to the liver is not revealed in blood tests.
I got my latest blood test results back from my rheumatologist (by the way, why does my computer insist that I am misspelling rheumatologist) last month. I get a nice clean printout mailed to me after every blood test and usually everything is ok. This most recent one however indicated that I was low on vitamin D. It also included a prescription for ergocalciferol and a note to start 1000 iu per day after completion of the prescription. My wife, who is a RN, filled me in on the blank spaces, believe me I have a lot of them. When you are deficient in vitamin D, your body is going to get it from somewhere... it will rob the vitamin D out of your bones which could lead to osteoporosis. So to make a long story short, I'm now taking extra vitamin D ... something I might not have realized I needed if it weren't for taking MTX and having regular blood testing done. So continues my love/hate thing with MTX.