I also was under the misunderstanding that if I just "hang on" PMR will go away. I got down to 5 mg of prednisone aided by Tylenol and still had a lot of pain. One day I could hardly lift my coffee mug to my lips. I decided to try Kevara and have not looked back. I was able to get off prednisone quickly and now have no PMR pain. None. I give myself a shot twice a month. Easy peasy. I am on Blue Cross Medicare Advantage and had to pay a $2000 copay in January when I started on the Kevzara. Unfortunately I will have to pay that copay annually as long as I am on Kevzara. In a few more months I think the plan is to slowly lengthen the time between the shots to ascertain if the PMR has gone into remission or not. Good luck to all with this miserable disease.