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I don’t think it matters if you can go to sleep and stay asleep without waking up in the middle of the night with pain. I lost half of a night of sleep because of so much pain at 3 a.m.

A single dose all in the morning isn’t supposed to cause as much adrenal suppression . I’m not sure if that is true or not. I took moderately high doses of prednisone for such a long time that my endocrinologist expected my cortisol level to be low after 12 years on prednisone. She expected my adrenal function would be poor no matter if I split my dose or not. She added it would be better when I reached a low dose of prednisone to take it all in the morning. That might help me recover my adrenal function sooner.

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Replies to "I don’t think it matters if you can go to sleep and stay asleep without waking..."

Maybe I should try taking it all in the AM for a week and see whether there is any difference. I do wake up at 3 AM but that's just the bathroom trip. My shoulder does hurt in the middle of the night, come to think of it. I have been getting acupuncture for it and it's really helped. I also have my coffemaker set to go off at 4 AM, as I have gotten up early all my life. Then I sit in bed and have a strong mug of coffee along with an extra strength Tylenol and it really helps me get going for the day. Thanks for your share, I appreciate it.