Inflammatory markers down but flares keep hitting, what's missing

been on methotrexate and plaquenil combo for eight months. my c3/c4 are finally climbing back, crp is down, everything looks stable on paper. but i’m still getting full flares every 3-4 weeks. joint swelling, that 2pm fatigue wall, photosensitivity flaring up.

my rheum just shrugs and says the labs prove the meds are working. but if the markers are better, why do my knees blow up for a week straight? i track everything. sleep, diet, stress windows, how hard i push at work.

and the pattern still won’t show itself. starting to think either i’m tracking the wrong things or the lab improvement doesn’t mean what we think it does. anyone else hitting this gap where the numbers look good but your body didn’t get the update?