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I can only say that Prednisone has some bad side effects, like medically induced diabetic type II. i was on it for a few months up to 60mg at the end. I now take Cellcept instead. I don’t really know what it does but I take 1000mg morning and night plus 240mg Mestinon daily. I’m stable but get run down after doing any physical activity. I am positive for binding, blocking and modulating AChR but without MUSK.