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While this was always a concern for us Pearl fortunately didn’t experience it. We knew it was a threat to prednisone users. Pearl was restrictive in her diet but did not avoid sugar–rich foods and candies entirely. Her weight was 120 pounds before diagnosis, so at 63 inches tall her body had been in the petite category. After gaining 30 pounds she continued to be petite. Her final weight was 10 pounds above her pre-illness weight.