Hello! My rheumatologist recommended the increased/split dosage, after my 2nd 2-day stretch of over-the-top morning pain in 2 weeks. So I did ask, but it was really more "complaining" about the symptoms not getting better. Looking back, I was probably "too patient" before "raising the flag", thinking that, over time, the 15/day dosage could've made the symptoms gradually disappear even though the 20/day did not.

My PCP has not been involved since he referred me to the rheumatologist, although I've been keeping him in the loop on my progress.

To your earlier question, I asked my rheumatologist this morning when I should begin my taper. Since the new dosage (20+10), my symptoms have almost disappeared but not quite, so I asked if I need to wait until "all" symptoms disappear before the taper, or taper ASAP, since they've been almost negligible for 9 days now, but stable. My guess is that, if my shoulders have stayed about the same for 9 days, 2-3 more may not make a difference. I will keep you in the loop on how that goes.