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Gabriel recognizes PMR requires corticosteroids for symptom relief but supports with anti-inflammatory diet and supplements to allow lower steroid doses and faster tapering, addresses steroid side effects, uses low-dose naltrexone as potential steroid-sparing agent, optimizes vitamin D and calcium, and works with rheumatologist.
Gabriel recognizes PMR requires corticosteroids for symptom relief but supports with anti-inflammatory diet and supplements to allow lower steroid doses and faster tapering, addresses steroid side effects, uses low-dose naltrexone as potential steroid-sparing agent, optimizes vitamin D and calcium, and works with rheumatologist. Monitors for temporal arteritis (vision changes require immediate attention).
Standard Treatment
Low-dose corticosteroids (prednisone 10-20mg/day, dramatic response diagnostic), slow taper over 1-2 years, monitor ESR/CRP, sometimes add methotrexate as steroid-sparing agent, treat steroid side effects, screen for and monitor temporal arteritis.
The Problem
Steroids necessary but side effects (osteoporosis, diabetes, weight gain, infections), steroid-sparing agents underutilized, inadequate nutritional support to mitigate steroid side effects, doesn't use anti-inflammatory supplements to potentially lower steroid requirement, inadequate bone protection.
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What's Included
Available through Fullscript
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What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
Anti-inflammatory Mediterranean diet, omega-3 rich fish, abundant vegetables and fruits, anti-inflammatory spices (turmeric, ginger), adequate calcium and vitamin D, adequate protein (steroids catabolic), avoid sugar (steroids increase blood sugar).
Prednisone 10-20mg/day (dramatic response - if no response within days, question diagnosis), slow taper over 1-2 years guided by symptoms and ESR/CRP, physical therapy and gentle exercise (prevent deconditioning), bone protection (calcium, vitamin D, weight-bearing exercise, bisphosphonates if osteoporosis), blood sugar monitoring (steroids cause diabetes), report vision changes immediately (temporal arteritis), consider steroid-sparing agents (methotrexate, LDN).
Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
10-20mg prednisone, dramatic response. Cannot substitute with natural therapies initially.
May allow lower steroid dose and faster taper.
Calcium, vitamin D, K2, weight-bearing exercise, bisphosphonates if needed.
Prevent deconditioning, maintain function.
Potential steroid-sparing agent.
Report vision changes, new headaches immediately.
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Curated for Polymyalgia Rheumatica
Traditional supplements via Fullscript
Whole food supplements by Standard Process
Standard Process + advanced peptide therapy
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