Hi, Shauna:

I have taken SSZ and had moderate results while on NSD; without the diet--years ago--it seemed only to make me feel like I was living underwater.

SSZ is a large drug load, and on rare occasion I take it during winter but refuse to stay out of the sunlight during summer; a necessary measure while on high doses of this drug (drinking should also be avoided, but I have no problem there).

But honestly, since I am convinced that the DMARD action of SSZ comes from its antibiotic effects (the sulfapyridine), I just take antibiotics most of the time when running across the occasional mini (micro-) flare.

I doubt that, from one flare, You will have much noticeable permanent stiffness from damage; it is possible, but unlikely. It just may be a case where a good fast will break the cycle and eliminate the dross of inflammatory byproducts.

You might have my AP for AS, or can work out Your own but probably will not really need it but the RBF has a list of antibiotic-friendly rheumatologists in various locales.

HEALTH,
John