Hi Glogs. I’m no expert, so maybe others have different experiences, but I’m familiar with steroid injections for acute asthma attacks and that slow release steroid injections are not the general course of treatment. One of our experts did write this article about corticosteroid injections and the fact that they can sting quite a bit: https:///living/steroid-injections-a-pain-in-the-butt/ . Hopefully others will have some input or ideas on better tolerating the oral steroids. The new specialist may also have have some alternative treatment recommendations. Please keep us posted on how things go. Best, Richard ( Team)
Family history is a risk factor for asthma, with many different genes being implicated.  If one identical twin is affected, the probability of the other having the disease is approximately 25%.  By the end of 2005, 25 genes had been associated with asthma in six or more separate populations, including GSTM1 , IL10 , CTLA-4 , SPINK5 , LTC4S , IL4R and ADAM33 , among others.  Many of these genes are related to the immune system or modulating inflammation. Even among this list of genes supported by highly replicated studies, results have not been consistent among all populations tested.  In 2006 over 100 genes were associated with asthma in one genetic association study alone;  more continue to be found.