I hope you are all well.
I want to ask for my Father. He was diagnosed with RA in Dec 2020. At that point his anti-CCP was 256. His ESR and rheumatoid factor were also very high.
He has been injecting Metoject for 3 months now, first 12.5mg, now 10mg. His ESR and rheumatoid factor have now become normal. His haemoglobin is still low and platelets are slightly elevated.
However, he recently took another anti-CCP test and his result was 513. Even higher than baseline.
Is there cause for concern given that his ESR and rheumatoid factor are now normal?
Does he need to increase his Metoject dose to make anti-CCP go down?
Or should we ignore the elevated anti-CCP test as long as his ESR and rheumatoid factor are fine? Perhaps, anti-CCP is not a very informative test for tracking the progress in treatment?
He still feels tired all the time, no energy and can’t walk too far but no strong pain. So no remission yet.
Many thanks I’m advance.