Also...have you had the c-19 vaccine? In my experience and research, I found that when the PMR is flaring up, it's usually due to the PMR fighting a virus or something else that your immune system should be doing. I was recently flared up and when I got the 1st Moderna shot, the PMR symptoms faded away around 50%. After my second shot most of it is gone...hard to tell if it's more arthritic pain or the PMR now, but mild.