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My husband has ocular MG. He took an Epsom salt bath last week due to his bad back. Two days later he started to have double vision again. He was being weened off of prednisone for the past 8 weeks and was down to 5 mg which his neurologist wanted him to remain on until his next appointment in February 2023. (He is also on a daily dose of 1500 mg of Cellcept.) He had been on the 5 mg for 20 days when his double vision returned. So for now, we are not sure if the Epsom salt bath caused his flare up or not. His doctor is increasing his prednisone to 20 mg for the next 2 weeks to control his symptoms and then she will begin to ween him off again with the goal to get back to 5 mg. I will come back with an update to see if it we can determine if it was indeed the bath that caused his flareup or that being on the low dose of prednisone that did. Thank you. Mary L.