@rashida I had PMR 5 years ago and was on tapering doses of Prednisone for a year. I never gained weight or had an increased appetite. The Prednisone gave me so much energy and eliminated my pain. Because of all the energy and because I was pain-free I was busy every day cleaning closets, painting the garage, exercising, etc. Doing all these things must have kept the weight off. My PMR has been gone, or at least in remission, since 2021. For me prednisone was a wonder drug.

@rashida If weight gain is what is keeping you off prednisone, then I am thinking you should try prednisone for 30-60 days. You will have to taper off prednisone even after one month, but that taper should be short. If you can manage the weight concerns while on prednisone, then you can stay on it.