Rhuematoid arthritis with ESR 109

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Hi,

I have been diagonised with RA for last 1 year. I did my blood works and now my ESR is as high as 109. In addition I have high CRP and RA factor.

I am wondering what are the natural ways i can get ESR low. How risky is 109 ESR and what should be my next course of action.

I have flare ups and pain and i feel really fatigued. Thanks!

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