Thanks for the reply Ducky. After I had so much pain with the first 2 injections, abdomine and left thigh Dr. M at the Cleveland Clinic decided to stop that treatment. However he did say that prehaps we would return to the campath but do it IV delivery. So we went back on heavy predisone, 30mg and up the MTX 80mg once a week. The 30 mg was for 14 days, then 20mg for 10 days then 10 mg for 1 week. Counts lokked better while on the 30 mg but returned back to what the were when I first started. What they want to do next is probably the IV campath. My concerns especially going through the winter months is doing anything that would surparss my immune system. I do take alot of vitains and supplements to support my immune system. It seems my biggest problem is my hemoglobin. I have to be transfused about every 4 weeks when it drops to 7.2 and with 2 units it kicks it up to only 8.6. So it is the chronic fatique that gets me. I try to stay as active as I can , I am a chiropractor and my job is very active. but am tired by the afternoon. So my question did you have any side effects from the IV campath? How often did yo get the injections? How long did it take before you saw any changes? This is starting my 5 year and am now 55 years old. I have gone through Dr. loughren treatment plan and had no changes it was him that refer me to Dr. M at the Cleveland Clinic so now we are just trying treatments "outside the box". Any help would be appreciated..........Thanks