I am on methotrexate and folic acid and it seems to be working well. I was having trouble with fatigue but when my doc did blood test for vit D it was very low. I took prescribed vit D 50,000 units and after 3 months I have more energy than I need

In my opinion, I’d say to treat the RA before it gets worse. It can get really bad & painful!

Just sharing my thoughts:
If you have RA, you need to take medication to slow down the progression of the disease, to help prevent further joint damage. Methotrexate and Folic acid are usually the first medications that people are given. The medication may not help with the fatigue but, as I said will help with slowing down joint damage and possibly prevent or delay other joints being affected by Rheumatoid Arthritis.
I had fatigue for years, then my hands started to hurt, so if my RA had been diagnosed when the fatigue first began (which of course doesn't happen) the damage to my hands would be less, now.

Watch out of the Sun. It can make your body feel more tired and achy and that's because of Lupus. Always watch your Creatinine level, lupus can attack it without any symptoms at all. I'm battling Lupus, and it's just a few months back when I get right diagnose and as of now my kidney are not doing great as of the moment. And take note, I'm just on 5mg of Prednisone and 200mg of Hydroxychloroquine plus 600Iu vit D everyday since July 2019. Talk about fast movement huh. Goodluck Sir.

My husband had serious side effects from Methotrexate. It changed his personality. His friend with RA also had a bad reaction to Metho and ended up in the hospital.