Hi. I too had to go back up on the pred. Not a fan as I have osteoporosis and as you know pred not good for bones! I’ve been doing a 5 day fast with food with a company called Prolon. Never in my life have a fasted. Today is day 4 and I feel pretty good. This is supposed to help with inflammation. I certainly feel better and am hoping this helps. Just a thought. I can’t say it’s totally from the fast or the uptick of pred. I’ll do whatever I can to eliminate as much pain as I can. Good luck. This PMR is no joke and I think the docs have no idea how debilitating it is for us.