<s>[INST] I have been told I have temporal artiritis and the pr thing too.... diag on 4-29-15 - been on prednisone since and now my sed rate is back to 90 after going from 90 to 26 to 23 to 30 to 46 now I am back taking 60mg of pred everyday with no relief from headaches and pain - seeing a specialist on Monday - what other options are out there to reduce my sed rate?? [/INST] Hi welcome to Chat Doctor I have gone through your query regarding high level of sedimentation rate can understand your concern. Dear, I would like to know your age, are a male or female ? .  ESR is no doubt quite high.  Normal rate should be 0-20, and 0-30 in above 50 elderly female and 0-15 and in above 50 elderly male 0 - 20 in male For your info, most health problems are outcome of weak immunity due to our faulty lifestyle and food habits. Modification by following regime, of regular exercise, walk, yoga, Panama, meditation for proper blood circulation & cleansing of body and mind and including intake of essential nutrients regularly , helps strengthen immunity and gives resistance from diseases. High ESR levels can be outcome of inflammation of your arthritis and can be the side effect of its medication Prednisone. There are foods that can help to reduce inflammation.  Balanced Diet rich in fiber , vitamins, minerals and antioxidants in natural form and antioxidants -ginger, garlic, fresh vegetables, fruits and flax seeds, blueberries and cranberries , pineapple. Omega-3 fatty acids, found in the oil of fatty fish, & Olive oil contains a type of antioxidant can provide extra protection against inflammation . ., A spoon of Turmeric powder with a cup of hot milk +a spoon of Almond oil at ed time is a natural antibiotic, antioxidant, helps alley pain and inflammation. Lemon juice with warm water, a pinch of salt and black pepper is an effective antioxidant and energizer. Avoid food that is high in saturated or trans-fats like fried, fast foods, refined sugars and fine floor products , tea, coffee, alcohol, sleeplessness, dehydration, constipation.worry, stress all induce toxins in your body.,it is advisable to consult your doctor before following any regime Hope this helps solves your query. Take care, All the best.Don't hesitate to get back if you have any further query </s>