yeah so theres a few things that might be going on to know we only need few different tests so one of them youre right it could be that the adalimumab kind of lost its effectiveness which sometimes happens and we can test for that by doing a blood test to check for the level of the drug in your body and also um sometimes you could develop antibodies against the drug as well
a few that be going we need few different tests one of that its which happens we test that by doing a blood test to for the level in body and um sometimes you develop antibodies as well