Hi all...USA resident here, and about a year or so into the PMR life. Feel as though I have gone through the stages of grief...was definitely in denial for a long time no matter HOW much I hurt or how stiff I was. Finally being a grown up. My doctor (third one) is rheumatologist and trying to get me to biologics to get the pred down. I can't seem to successfully reduce dose to a "safe" level (doc says no more than 7.5 mg). Right now am on 12.5 mg but do have some stiffness and pain ....which I don't mind so much as long as I can go to work and function. It's like balancing to put up with the pain/stiffness and then as low a dose of pred to minimize the side effects. Gained about 20 pounds when I was up to 25 mg. Haven't reduced weight too much but learning patience. My insurance requires step therapy to go from pred to biologics so have to try methotrexate or hydro...quine or something like that. I picked up the methotrexate prescription and have been staring at it for a week, not wanting to take on all of those side effects and not see any benefit for 2-3 months, IF I see any benefit at all! I know the pred is bad on the body but at this lower dose seems not so bad, but doc is insistent on wanting me to get off of it and/or down to much lower dose. Any thoughts on this? Again, thank you all for sharing....it is wonderful for me to be able to read your posts and am so sorry that so many of you are in really rough situations much worse than mine.