i have Ms, which is also an Ai disorder. because of my hep
c and cirrhosis, my drs have to adjust for hep
c. when my Ms flares my dr sends me for 3 days of liquid prednisone, called solumedrol. when steroids are administered IV. my dr said it is liver sparing(it bypasses the gi tract). my drs will not use immunosuppressants.
my longterm medical plan was to eradicate the hep c, and then you can treat your ra aggressively. i cleared hep c and am currently waiting for regeneration.