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My first symptoms became life threatening within two weeks so first visit to a neurologist and i was diagnosed. First few days started Mestinon 60/4hrs and 20/day prednisone. Symptoms got worse. Increased to 40/day prednisone. Getting worse. Increased to 60/day. Symptoms start to decrease. 4 months later most my symptoms are from the long-term steroid use. Slowly decreased for 2 months to zero and went to IVIG once per month. Now mild head discomfort and overall tired at end of day. Otherwise normal. Whole time Dr.s mission was to get of steroids. Its the easy way to get life back quick but comes with other dirty burdens.