Hi, I am on MXT 20 mg and Folic Acid 5 mg taken the day after since July 2015. Apart from a painful flare when I was given pred tablets which helped, things seem to have settled. I have energy and my hands, knees and hips are pain free, however the joints of my big toes are quite painful when walking. Is this something I'm stuck with or do you think this will improve in time? I've tried wearing different shoes but it doesn't seem to help that much. It's so annoying as it stops me doing things which in other ways I'm quite able to do. Ibuprofen doesn't seem to make much difference either.