Bobbi, are you saying that they can cause adrenal suppression (the shots) in some people and not others? Just wondering if you knew....I know you had problems...I don't think I would have the nerve to tell a doctor that he should "include" something in his literature.....I will tell him what happened to me,,,,,,this is like one of the top Spine Centers in Maryland....I just am too shy to take that approach....though it should be done! How many people are walking around with suppressed adrenals....???? Oh man this cortisone is making me evil..........one wrong look or word and I totally flip out and start yelling, crying, or screaming...the doc lowered my dose a bit but that was it. ITs not even that much,,,20 mg cortef daily = 200 mg prednisone....if I even got that right...I probly skewered it but am not sure if it affects the same...and soooooooooo depressed....comes in waves though.....not constant...YUK YUK YUK...