@annpeters after I was finally able to taper down the prednisone appropriately and evaluated by my new rheumatologist at Mayo. I am now on the flutamide 20 mg seven days a week, Humira injection once every two weeks Tylenol, and I take NP thyroid medication for hypothyroidism, medical cannabis lotion, I do regular infrared light therapy and Gammagard infusions monthly. Hope it helps.