I have been put on AA twice by 2 different rheumys,both insisting that, despite a good DEXA scan result last September, the amount of pred. I have taken so far puts me at high risk of osteoporosis. This time, I have been taking it for about 3 months. I have not had obvious side effects, but although I am currently on 12 mgs Pred. I have been getting a lot of pain, especially when I exercise ( aqua fit classes twice a week and walking the dog for about a mile a few days per week). I just happened to read again the AA leaflet and noticed that a common side effect is pain in the muscles, bones and joints (yet again like all the other drugs for pain relief!) so I am now confused: might my pain be from Cushings i.e. too much steroids, PMR( although my ESR and CRP are going down thanks to the Leflunamide) or AA side effects? Sometimes my brain really hurts trying to work out what is causing my pain as it all feels pretty much the same !!It doesn't really make sense to me to take AA if it is stopping me from taking weight-bearing exercise which would help to prevent Osteoporosis ?