I agree with you about wanting to maximize function and accept some long term risk in order to enjoy life in the present. My situation is a little different in that I'm younger (74) and on a lower dose of prednisone ( 6 mg which is about like 1 mg dexamethasone). I have started Kevzara which has possible cancer and other risks. I watch my labs and blood pressure and so far they look good. My rheumatologist says that 5 mg of prednisone and below is significantly safer so I am trying to get there. I'd like to get to 3 mg and wouldn't mind staying there long term if I feel good and am not having side effects. It's a personal decision balancing a lot of factors.