(The average rate of speech for English speakers in the United States is about 150 words per minute, by the way.) A speaker's habits also influence how much air pressure is used to produce sound and how s/he uses laryngeal muscles to open and close the vocal folds.
4 Use of methotrexate to treat pregnancy of unknown location.  You may require a second dose of the drug.  You are advised to wait a minimum of 3 months before. trying for a future pregnancy.  You are sometimes more vulnerable to infection (if you. come into contact with someone with flu/common cold. etc).
These methotrexate warnings do not mean you have to stop treating your RA during pregnancy, necessarily. There are other RA drug options that are safe to take during pregnancy. These medications include the following prescription drugs: azathioprine; cyclosporine; hydroxychloroquine; sulfasalazine