Hi Theresa, it sounds like you've really been making some progress! Congrats. Most people try mtx alone first, as most insurance companies won't pay for the biologics until you've "failed" one of the classic DMARDs like mtx or sulfasalazine. My rheumy tried me on sulfasalazine first because in his experience most people cannot tolerate it very well, and he wanted me on a biologic. I failed the sulfasalazine in 5 weeks and was approved for Humira. I avoided mtx at first because I'm still of child-bearing age and wasn't sure if I wanted more kids. I'm definitely not having anymore now, though, so adding mtx to the enbrel I currently take was a no-brainer. Many people do well on mtx alone.
Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan