Rheumatoid Arthritis Support Group
Rheumatoid arthritis is a chronic, inflammatory, multisystem, autoimmune disorder. It is a disabling and painful condition which can lead to substantial loss of mobility due to pain and joint destruction. The disease is also systemic in that it often also affects many extra-articular tissues throughout the body including the skin, blood vessels, heart, lungs, and...
Over the years, I managed to maintain the same dress size more or less. But, then Prednisone came along and I went up one whole size. For me, this is big. In addition, I never had to worry about fat on my abdomen (it was always my thighs that were the problem). With Prednisone, the fat definitely concentrated in my mid-section. I started to look different than I always did and it was quite scary.
The good news is that as I tapered the Prednisone (by now I am down to 3 mg. per day), I my weight went down too. Obviously, exercising and eating less helped but I have no doubt that it is the lower dose of Prednisone that is most important. As your Prenisone dose goes down, so will your weight.
Good luck to you on this battle! Me
It's very difficult when you have RA to counter the effects of prednisone, because it's generally difficult to do vigorous exercise, which helps you burn calories, but you can.
I posted a long comment in a post titled "How long after prednisone...?" posted by Ozarksgirl in Discussions. This was about my experience losing weight, and a couple of things I learned about prednisone. Maybe that might help understand a little more about prednisone. This is from informatin I picked up from a couple of doctors. I have seen articles that disagree, and clearly, I'm in a minority here, but I'm pretty confident in my belief.
1) I've been taking prednisone for slightly more than 3 years, with the highest dose being 80 mg in an initial short dose regimen, having stopped competely 3 times, and now taking 4 mg.
I kept my same weight for nearly 2 years, but then became ill summer of 2007, and came to dislike the taste of all food. I was hospitalized, and when I was discharged, I had lost 20 pounds.
2) I regained those 20 pounds plus another 20 after I was discharged. Actually, I began to gain the extra weight sometime after mid-December.
3) Because I had trouble accepting the weight gain being attributed to prednisone (Why now, after all this time?), and I though it might be due to thyroid problems. However, there was no other reason that was apparent.
That's when I began my attempt to learn how this could be happening to me. I talked with five different doctors in trying to understand it. My way of dealing with it the stuff of my "discussions" comment.
I have lost btw 18-19 lbs but I will admit my face and tummy do not look like I did. I have had a fat face & tummy, and overweight, prior to the pred.