78 now RA and step. For 39 years - low dose prednisone every day / now can not get off it so it too isn’t helping atrophy. And recently diagnosed with late onset muscular dystrophy ( one dominate gene mutation!). I’ve been on Orencia for years and it seems to have slowed RA I guess. Less so more recently. No bad sides. Also last year on IV immunoglobulins ( IGg and A ) monthly which helps me so much overall. So hard to know what is doing what isn’t it. ? Best with all!