At 66 yo, I have been on 10 mg pred daily since Oct.9, 2025 for my PMR. All symptoms resolved until GCA symptoms began Jan.14, 2026 and definitive diagnosis on Feb.9, 2026. My pred was increased to 40 mg daily Feb.23. 95% of my GCA symptoms resolved except jaw claudication when chewing something firm. I have been a vegetarian of sorts since 1979. No red meat or pork, chicken monthly, fish 1-2 times weekly, little refined sugar, no processed or fast foods. I have a 5 day per week weight routine and yoga practice 3-4 night weekly. I explain all this to say that I enjoy 2+ glasses of wine most days. I have had no negative response since being on the pred except increased blood pressure and insomnia 2 nights per week. I have found that THC (liquid or smoke) does help with the insomnia. I am being transitioned to Actemra infusions, of which I have had only one. Awaiting my insurance company to hopefully approve the Tyenne/Rinvoq for me to do weekly injections soon to keep me from driving 1 hour each way for the infusions- if the OOP isn't too great.
I am honest with my docs so they know to keep an eye on my liver function. I do believe each person's response to any physician or self prescribed 'therapy' is quite variable. I sure don't want to give up my wine!
God speed to all of us dealing with these vicious Rheumatic diseases!