← Return to Has anyone lost weight with PMR/GCA on high dose Prednisone?

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@dadcue

Weight loss is common for untreated PMR/GCA.

Weight gain is common for PMR/GCA treated with Prednisone.
https://www.verywellhealth.com/how-can-i-lose-prednisone-weight-gain-1942985
I'm having a terrible time losing my Prednisone weight gain. My endocrinologist said my long term Prednisone use probably caused me to have Metabolic Syndrome.
https://my.clevelandclinic.org/health/diseases/10783-metabolic-syndrome
Diet and exercise are the primary treatments along with lifestyle changes since I have discontinued prednisone. I'm making progress albeit very slow progress losing weight.

I'm off my cholesterol medication and the three blood pressure pills I was taking when I was on Prednisone. I just can't seem to get back to my pre-PMR weight. I still have a long way to go even though I have been off Prednisone for a couple of years.

My endocrinologist says my insulin level is high so I have insulin resistance. We are trying to address that problem now that my cortisol level is back to normal. I'm not diabetic but my endocrinologist says if my insulin level doesn't decrease, I will be diabetic.
https://www.medicalnewstoday.com/articles/317015#:~:text=Taking%20prednisone%20can%20make%20the,produce%20in%20response%20to%20stress.
My endocrinologist says hormones regulate everything. Prednisone disrupts the balance of our hormones.

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Replies to "Weight loss is common for untreated PMR/GCA. Weight gain is common for PMR/GCA treated with Prednisone...."

That's all pretty frightening. I didn't realize all the consequences of Prednisone. We're still fairly new to this. He's been on Prednisone since May 2023 but had tapered down to 12.5 mg from 30 mg for PMR. Then all hell broke loose when he developed GCA last month and he had three 1200 IV infusions of methylprednisolone. Now he's on 80 mg per day and has been for almost 2 weeks. With all this prednisone he's still losing weight. But he has lost that chipmunk cheek look he had about 3 weeks ago when his inflammation levels had skyrocketed. I hope you can get all your levels back on track and that you don't end up with diabetes. It sounds like you've been through a lot.

You're saying weight loss is common with untreated PMR/GCA and weight gain is common when these conditions are treated with Prednisone. Which worries me since he's had all this Prednisone for months. I can only think positive and hope for the best. He says the prednisone makes him feel hyper and he gets a bit shaky (hands.) He's thinking that's what is causing weight loss. I just want to get confirmation that nothing else is going on and I'm praying this week's labs will show a reduction in his inflammation levels. We've only dealt with PMR until very recently when he was diagnosed with GCA.

The crazy thing about all of this is my husband was so healthy for so many years and this came out of nowhere.