I had to go to my primary first to rule out pneumonia before I put the steriods up to 12 mg a day, I had a chest x-ray and blood tests and ruled that and also ruled out kidney and liver problems. I can't seem to get off the steriods without these problems. I see the Rheumy on November 15 he was trying to bring the steriods down I was hoping to be able to get off of them but the pain kicks in.