I think the safest approach would be for him to see consultation with a gastroenterologist for consideration of liver biopsy since he has been on more than 3 g of methotrexate.
Ndicinga ukuba indlela ekhuselekileyo amakayilandele kukuba abonane nogqirha oyingcali yezifo zesisu ukuze kuxilongwe isicubu senyama yesibindi sakhe elebhu njengoko ebesebenzisa ithamo elingaphaya kwe-3 g le-methotrexate.