I used to have problems with PMR also - until I went off all sugar. I had a very high CRP (C-reactive protein) score, which is an indication of inflammation in the body. I developed candida overgrowth after being prescribed dexamethasone for adrenal insufficiency, and I had to stop eating all sugar. I will be on steroids the rest of my life, so I had to make this huge lifestyle change. Turns out, going off sugar was also the right move for my osteoporosis as well. I am having great luck with boron for my osteoporosis. (Did you notice that large hump on Ruth Bader Ginsburg's back? She had osteoporosis bad. She was always eating prunes from the bag - because prunes contain boron! You just can't eat enough prunes to make big change - so I take a supplement. You can also mix Borax into water - I think it is one-eighth tsp. in a liter of water. I just don't want to do that.). As soon as I get the Covid 19 vaccine, I will take a DEXA scan which will make my improvement official. I was literally fracturing from my osteoporosis. That hasn't happened in almost three years - it will be three years in February. That's how I know it is working.

But seriously, if you have so much inflammation that you are getting PMR, you might want to consider going off sugar, 123suew. It's only hard for about a month (two weeks, actually). It IS a lifestyle change. But once you've seen how great you feel without sugar, you will be amazed. It's not just what you think is sugar - it is also fruit, high-sugar vegetables such as beans, all baked goods, condiments, etc. I am following the diet found in the book called The Candida Cure by Ann Boroch, ND (I did not do the organ cleanses she recommends). I cannot recommend this diet highly enough to anybody or everybody that will listen. I've been on this diet for six years and I feel like a million bucks.

You are right - I had grave concerns about taking the "bone building" drugs. I was determined to find a nutritional way to heal my bones. I did a great deal of research and spoke to people who had suffered horrific side effects from those drugs - all of the bone-building drugs. I had already had a bad reaction (my jaws) to Fosamax. I did not want to take a drug like Prolia and have it last in my system for six months. I have so many drug allergies. But after I spoke with women who now had osteonecrosis (bone death) caused by the various bone-building drugs, I knew I would never use that medication. And so began my research into osteoporosis and how to correct it. I'm so happy I am on my way to better bone health with each and every meal I eat and every bit of Vitamins D3 and K2 (mk4, mk7), and now boron.

After going off sugar, my CRP level went from 13 down to less than 1.

Good luck to you.

@moni54 You are so right, the people who are most apt to post are those who have problems. The serious problems from these drugs are very rare, like 1 in 10,000. I believe that is lower than the problems from a hip fracture when you are older. Older people who fracture a hip may end up in a wheelchair for the remainder of their life, and 20% of those people die within a year.

I struggled with deciding on a pharmaceutical but after doing all of the right things for a year my DEXA scan was worse so I will be starting on a therapeutic drug this month. I will probably start on Tymlos and after two years I will have to go on something else to maintain the gain I have achieved. I'm not happy with this, I tend to often get "rare" side-effects but I think I have to do it. At this point, I can't afford to have my osteoporosis continue to worsen.

Boron is still not considered to have been tested enough for doctors to recommend it but the tests that have been done do seem to show a slight improvement and it has caused no serious side-effects. Just do not use Borax, it is not food grade and there is no guarantee what is in it. It is used as a poison for rodents.
JK