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Hi Alison,

There is no perfect diet. The best thing to do is eat a healthy diet and exercise. I found using a salad plate instead of a dinner plate forced me to take smaller portions of food. Drinking water prior to eating helps me feel full. The slower you eat will give your stomach time to signal the brain that you are full. Don't eat while watching television. When you do you don't even notice what or how much you have eaten. Don't buy junk food, if it is in the house you will eat it. Once a week treat yourself to something you love.

When you are in pain it is difficult to exercise. Listen to your body and start slowly. If you overdo you will be in pain and less likely to exercise. Choose something you think you will enjoy and doesn't stress the joints. Walking is my primary exercise and I supplement it with yoga. When that is impossible I do leg lifts and tummy tightening while laying in bed. I always thought videos were the way to go but for me it really isn't. Joining a class and making friends make me want to go and exercise.

Once you lower your steroid dosage it takes time for the pounds to shed away. Hide the scale. You will know by your clothing if you are loosing weight or not.

Good luck,
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