Appreciate your reply and resources, will take time to digest.

Main intolerable side effects of Prednisone huge dose - severe weakness (she fell couple times already, so far no fractures), loss of vision (blurriness in combination with nearsightedness) and severe pain in both legs.

If Mayo Clinic was within driving distance we would not hesitate face to face appointment, but since it is not (common guys, you are not in Golden State?!), and now Covid situation, all options are on the table.

appreciate all suggestions provided.