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I’ve been diagnosed with and lab tested for occular LRP4 – MG ( extremely rare) for the past 2 years. My doctor at the department of Neurology at University of California Davis ( who specializes in MG) – considers Prednisone, with all its drawbacks – still the front rank treatment for this disease. Mestinon never worked for me. Am currently on 10mg Prednisone daily only which keeps my eyelids open (they were entirely closed) and my symptoms in semi remission. My doctor, who is still urging me to reduce this dose gradually, said 10mg is considered a “generally safe” level and recently was able to have double cataract surgery ( I am taking own precautions, extra vitamin D, Calcium, ect ).