Thank you Erin for your research and reply! The last document is especially helpful. I’ve basically been on some form of steroids for way too long. I’m about to trial a 4th Biologic. I’m hopeful this will work and we can finally be successful weaning the steroids. It’s interesting, I’ve been logging many of my symptoms and they definitely are mostly negatively affected by stress and positively by steroids. Not so much by my other RA meds. Looking for the next, safer magic bullet.