I have had PMR since Jan 2016. I've been down between 6-8 mg prednilosone for about 6 mos. pain keeps returning, etc. Fatigue is the worst of it for me, has been all along. I Have significant memory issues, insomnia, weakness and very low stamina or endurance. I have headaches all the time, neck pain, back and hip pain, sometimes shoulder pain. So this visit to my rheumy he announced that 1) since my markers have not been elevated since FEB 2016, and that my pain seems to be unusual patterns for PMR, He thinks I may also have fibromyalgia. He also thinks that my depression getting worse may be creating or adding to the symptoms (cognitive, too). So, in concert with my GP I am now on a new antidepressant cymbalta (had been on Prozac for 25 years), I have started counseling twice a week and am determined not to sway from taper, 1 mg every 2-4 weeks. I'm struggling not to think this is just all in my head. I know it's not, but I'm kinda confused. Why have I been on this steroid all this time with no elevated inflammatory markers, and why isn't that still the case?