Need PsA and Ps help

[Functionalfool]

There are a lot of questions to answer so I'll just give a basic summary. I had mild skin Ps for last decade, then started getting weird pains that were like sprains that popped up over night in my wrists, knees, and previous places I have broken bones in past. I wasnt diagnosed with Ps/PsA until 2 years ago and was immediately put on Otezla because I have fantastic insurance so cost is not an issue. Otezla did very well at staving off PsA but not as awesome at preventing skin Ps so I asked about Tremfya. I gave it 4 months and it's not working AT ALL, so I'm back in Otezla and refused the next injection. I am 41 years old, in decent shape (who couldn't stand to lose 15lbs tho lol) and I do labor for a living so I'm relatively strong. I have not changed my diet because no one has ever talked to me about changing my diet. I don't eat much fast food, but I do eat a lot of shit food like tv dinners. Stuff loaded with salt.

Any advice is appreciated. I am kind of new to this and my ps gets worse every year! If I missed any questions please ask again