75 yr old female, eating normal South Indian diet, under medrol for rheumatoid arthritis for the last 15 years (now reduced to 4mg daily), low cortisol levels in blood, HBA1c 6.8, normal in thyroid function, liver function and kidney function tests, lacks sensation in both feet. Sometimes feels pins and needles slightly. Cannot wear slippers properly without looking at the feet due to lack of sensation. Feet always feels like there is a socks covering it (sensation). Occasional pain in knee and legs. Normal lipid profile, anemic (Hb 9.8) even though having B complex, iron and multivitamins daily after food. Slightly elevated ESR (50), very thin legs with evident muscle loss in the entire lower body (glutes, thighs, calves). Walking is very slow.