"At 4 mg I can do this for the rest of my life and be happy. Go figure!!"

Maybe 4 mg is the difference. I couldn't get anywhere near 4 mg for the first 10 years. I was still taking 10 mg when Actemra was started. My rheumatologist said if I only needed 3 mg he wouldn't have cared as much and would have never tried Actemra. I hate to say this, but he also said I was "too young" to take prednisone for the rest of my life.

I wasn't sure what age had to do with it. I didn't feel young and felt more like 100 instead of 65. Now I'm 70 and I feel like 70.