Spoke with my Doctor regarding the blood test and increase in liver enzymes. He just wanted to know how I was feeling in myself and said he couldn't advise about the medication and that the Rheumatology Nurse would have the results and let me know what to do. He said to make an appointment to see him if I start to feel any worse. I have seen the Rheumatology Nurse and she said my ALT was usually around 40 which is a bit high but normal for me. The blood test last week shows it has risen to 74 so she has advised that I carry on with the same medications at the same dose and have another test next week. If the level is still rising she said the Consultant will most likely change the meds. She didn't feel it necessary to change things yet as my joints are not as swollen as they were and I am not as stiff, just the tiredness and lack of appetite. My blood pressure was up too but will monitor that. She said I could be fighting off something which is making me feel cold and not able to eat, but I don't really think I am. She will see me again in 6 months unless I need her before then. She gave me an appointment to see the Consultant on 5th November. I was quite surprised that nothing has been changed or reduced but will see what the next result is. I mentioned that I am still awaiting the Podiatry appointment too but she just said they have a backlog. Hope you are all feeling ok.