My cortisol level was 1. Both my endocrinologist and rheumatologist did not seem concerned. My rheumatologist said my fatigue is mostly my arthritis and was caused by pain. Also said it was useless to take an adrenal test when you Are on 6.5 mg of prednisone. I had decided to stop myActemra and not even try to get below 6.5mg of prednisone. Rheumatologist wants me to continue the Actemra and continue to reduce the prednisone. I no longer know what to do. HELP.