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I got down to 2 mg methylpredisolone and then mild muscle pains returned.
Can cortisol deficiency present itself with exactly the same pain as PMR? How can you tell the difference?
To handle I have been upping to 4 mg and trying again to reduce. But keep getting stuck at 2 mg.
I went to endocrinologist a year ago due to extreme fatigue when I was at around 5mg. She would not do a blood test because I was on steroids. She wanted me to switch to hydrocortisone to help with taper but I was nervous to try as I didn’t want to mess with the progress I made on tapering so far. I found out my fatigue was due to a protein absorption problem which I corrected.
I wonder if I should go back to endocrinologist. I have been in steroids since Jan 2022. I wonder if low cortisol can feel like PMR. When I google it, I don’t have those symptoms.
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Adrenal insufficiency is characterized by extreme fatigue and muscle aches similar to PMR.
Symptoms aren’t exactly the same as PMR. Then again, my symptoms on lower doses of prednisone weren’t exactly the same as I when I was originally diagnosed with PMR.
Higher doses of prednisone gave me high energy compared to extreme fatigue on low doses of prednisone.