My name is Adam and yes Im exhausted. I have to laugh because f i dont yknow... I have been dealing with undiagnosed PsA since i was about 7 or 8 and was never diagnosed until the other day I am 46 with two young children who are both dislplaying symptoms my boy is 8 and my daughter is 4. My whole life has been run by it. I have never been on a biologic but have had some prednisone and methotrexate once or twice to stop numerous types of flares . I have had a huge list of issues from irritable bowel to tmj psoriaisis fatigue and a few others. I almost went on Humira more than a decade ago but felt it was not worth the risk and it had been on the market for a really short time the warnings on the tv had me scared. The rheum gave me pamphlets for cosentyx and taltz this week. My lab results are in but i havent seen them yet.I have to go back to the doc on the 24th. To be honest im still on the fence about biologics while my condition is severe and debilitating at times i am surviving and i have many days that are good that i just ignore it. Anyway I' m Adam. I am lucky to have a supportive wife and parents.