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My wife is LRP4 MG for about 6 years. She also has had Crohn’s for over 20 years. She was on so much Prednisone due to the Crohn’s that she is adrenal insufficient now. One of the docs changed her to Hydrocortisone instead of Prednisone because it is less damaging. That worked okay but now is back on Prednisone due to other issues, When she was on Imuran she had low hemoglobin and RBC to the point she needed transfusions. Once she had Rituxan 3 years ago and got off of all MG meds her hemoglobin returned to normal pretty quickly. Hope that helps…