I'm sorry to hear that you are still having issues with bleeding. When do you have a cbc done again? Lets hope that if you require another blood transfusion it will be the last for a very long time. Are you taking liquid folic acid while on MTX? This helps to form red blood cells, works great along with an iron infusion, but I know you already told me once that that didn't agree with you. I was on Humira for a couple of months before I noticed any changes, but maybe it will work faster for you, lets hope!