I was weaning down from 60 mg of prednisone and was down to 10mg every other day. In my case, I had a reoccurrence which I can not point to any trigger including the lower prednisone. This time, my symptoms have been worse. First time was just double vision, now includes neck weakness and fatigue. I am back up to 40mg of prednisone and just finished 5 plasmapharisis treatments and next to no improvement. All this to say, I am looking forward to my first vyvgart infusion next week from what I have been hearing in this forum.