I was at my Rheumy Consultant last week. She of course spoke to me about my smoking habits. Life long smoker of 35 years. I already know the health implications and I know I will have to stop. I am six weeks off my tocilizumab injections because of a six week chest infection six weeks of antibiotics and six weeks of a flare up. She the consultant came away with a statement. Did I know that cigarette smoking causes Ra. I was totally shocked. Seemingly after trials of cigarette smoking this is what has been found out. Has anyone heard of this before?