Hi John----My doc has provided a tapering off schedule in 5 mg increments. I found going from 20 to15 a bit problematic so since then I've been coming down by 1.25 mg and that seems to be working well. Just started 11.25 (bought a darn good pill cutter!) and hope to be at 7.5 by mid-May. I'm also very fortunate to have a hot-tub and created my own stretch and strengthen routine which takes about 25 minutes each morning and that is so helpful. I think it's very interesting that neither my family doc or rheumatologist seem particularly interested in nutrition or exercise as an important part of recovery. If that small prednisone pill can have such a profound effect on our recovery, how can we ignore the pounds of food we put in to our bodies each week?