As You always said the more you relapse the harder to get back. So my NYC rheumy reduced so quickly that I relapsed and became very, very ill. He ignored the high CRP and the ESR was low and didn't think hm....something is wrong with this blood work. The lab screwed up, but he kept reducing. Never been so sick from anything in my life. I went back to 20mg after being at 10when I relapsed. Actually it was 12, and still not right. CRP 7.8 from 33 ESR at 28 from 42. But in between ups and downs. Steroid myopathy bad again. So no more famous Rheumy. Went back to doctor who treated me for PMR briefly in 2011and lo and behold we are thinking alike and I am a person not a number. Together we decided I need to try Actemra. Have lots of skin cancer just diagnosed and need surgery. Also never had my eye surgery and everything is on hold. Have been trying to get down to 10 and it's not happening. If blood tests ok for Actemra that's my next step. Not thrilled to be on such a dangerous biologic but I must do something fast because 20mg not doing it. Even if I get down to to 10mg on the Actemra that's a milestone for me after 2 years of 40 and 30 most of the time I guess I'm looking for approval or opinion it's 5 years of high doses of prednisone for me. What do you think PRO Thank you.