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@bfh3

I'm sorry to hear that your pain keeps coming back. My doctor advised me 8 days ago to increase my dosage to 20 in the morning and also take 10 at night, and splitting the dosage (at least for now) seems to have worked. Mornings have been pain-free, although I'm still not "back to normal" yet. I still have some hip tightness and minor shoulder pain that still prevents side-sleeping, but I had not flare-ups 2-3 days after yardwork on the new dosage like I had on the lower, "un-split" dosage. We'll see what the next week brings, but if it goes well, I suspect my morning dosage could be tapered, then I'll keep my fingers-crossed! I'm not sure if I'll need to adjust to a new normal.

I actually live in central Ohio, where there are few hills, but our yard just happens to be hilly, the only one like that on our street. I guess mowing has been making up for all of the running that I haven't been doing lately! Hope to get back to running soon.

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Replies to "I'm sorry to hear that your pain keeps coming back. My doctor advised me 8 days..."

@bfh3 thanks for replying directly - was it your PCP who increased to 30mg - or did you ask ? So you and i and many many other split the dose , mornings are not pain free otherwise ; And our experiences that 2-3 days after ( not even really " strenuous" ?) activity created a situation of prolonged morning pain - I have seen others comment on this as well.
In this figure from Lundberg et al 2022 Update on Polymyalgia Rheumatica, I am looking to figure out what are the current theories about 'Damage or Pathogen-associated Molecular Patterns'

Today i will decrease from 30mg ( 3 X 10mg) to 27.5 mg . My strategy will be to lower afternoon dose. I will keep going to aqau-PT and aqua ZUmba and try to take a bike ride around the neighborhood !!