I started at 60 mg a day and for me muscle pain in my calves, crying (probably b/c I was in the worst flare of my life) and hot flashes. now that I am tapering 60mg one day 40 the next etc. mostly it's just the muscle pain and hot flashes, which are not too terrible. I just got my appetite back so I hope I don't gain weight, haven't yet and has been 1.5 mos, though I was really sick.