I hope some of our community members with experience on Tremfya can share with you here, . Have you been on any other treatments for inflammatory bowel disease, or is this your first one to try? Unfortunately some of these treatments can be quite expensive. Is this something your insurance pays for? If not, you might consider seeing if you qualify for an assistance program from the drug company directly (this article, https://inflammatoryboweldisease.net/resources-cost, includes more information about medical cost resources). Please, if you're comfortable, keep us posted and let us know how it goes after you start next week! Wishing you a gentle day. -- Warmly, Christine (Team Member)