Just got back from rheum, and bummer he is upping metho to 20 mg a week. And got cortisone shot in ankle cause all joints in foot are inflammed. Have been on 15 mg MTX for a year but lately having issues again.:worried: Have been working fulltime as teacher and having tough times with all the walking and catching germs from 7 years olds. Now more MTX - oh swell. Wondering if there is anything I can do to boost my immunity? Anything anyone feels is helpful? Very bummed right now, and feet hurt and feeling mighty blue. Your support is always helpful, esp when Lupus is not under control.