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@franklinlala My Rheumy brought it up first but only after I had an episode of diverticulitis while on Tyenne. The Tyenne was only put on the table after my GCA was Dx in Nov 2025. I had been struggling with PMR for 6+ years and was only offered prednisone.
This site has really picked up discussion of the biologics in the last year.

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Replies to "@franklinlala My Rheumy brought it up first but only after I had an episode of diverticulitis..."

@jabrown0407 Thank you for sharing your experience. You were on Prednisone a long time before it was even suggested, and only after your diagnosis of GCA. Seems like a reluctance to recommend a biologic until prednisone use is exhausted, or your condition becomes more serious such as GCA.
Biologics seem to help so many wean off prednisone, it’s a shame people on long term steroid use aren’t offered it sooner. I know it comes with risks and costs are higher. That may be partly why. Thinking out loud here, and just trying to understand how it all works. Thank again for your input.