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My MG started at age 66 with diplopia which caused some problems with driving. I used a patch (not so good) and then glasses with prisms (fair) for several years driving from Maine to TX twice a year. Then I had eye surgery (essentially the same as for children’s strabismus). After the surgery I have had no diplopia problems and no problem driving now for about 8 years. Now at age 80, my myasthenia is essentially asymptomatic while taking only 10mg prednisone every other day (=5mg/day) and one or two 60mg pyridostigmine tabs a day. About 7 years ago I was started on azathioprine, but after 2 months on it, I developed jaundice from its liver toxicity and went back on the prednisone.