If you are getting into remission with mtx, generally they won't move you to rtx unless there is a change in condition, although, I think that in milder disease they also look for someone to come off of pred or at least get to a lower level than you are currently, so....if the immuno they have you on now, can't do that job, then it makes sense that they may want to go for something heavier (rtx).
The only times I've heard of people doing injectable mtx is because of stomach issues, not so that they can take a higher dose.


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