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I am a REAL late onset MG person, 73. My first symptoms were identical to a full blown stroke with every symptom that entails. I was hospitalized in a major teaching hospital in Las Vegas and had 5 neurologists exam me and they couldn’t figure out what was going on with me. I have been on azathioprine for 11 months and I haven’t had a single problem. Of course my RBC count is low but that’s to be expected. I was on a well-greased downhill slide before I started azathioprine. I am on 200mg a day. Also on 240 mg a day of mestinon and 45 mg of IV/IG once a month.