Treatments for polymyalgia rheumatica (PMR) often involve steroids like prednisone or prednisolone, which can have various side effects. One significant concern is bone loss, especially within the first 6 months of treatment. To mitigate this risk, doctors may recommend calcium and vitamin D supplements, lifestyle changes like regular exercise, and possibly osteoporosis medications such as bisphosphonates. Regular bone scans are also important to monitor bone density. Other side effects of steroid treatment can include gastrointestinal issues, high blood sugar, eye problems, increased blood pressure and cholesterol, higher risk of infections, and mood changes. Methotrexate or Kevzara may also be prescribed, each with its own set of potential side effects, including liver changes and elevated cholesterol. It's crucial to stay in close contact with your doctor to manage these side effects effectively.