Something to think about, especially when considering what Prednisone can do to our levels of essential gut microbes.

In my own case, in addition to Prednisone I've been taking a PPI (proton pump inhibitor) for acid reflux for 15 years. Great for blocking stomach acid production but also prevents essential proteins and nutrients from being released from food. I have to wonder what effect, long term, this has had on my health and immune system. It can't be good.

So often we (and our doctors) end up playing a guessing game. But at least it's clear to me that what goes on in the gut has a huge impact.