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    Pyridostigmine helps for me for Diplopia (eye crossing) and swallowing, but I’m up to taking 120mg, 3 times/day [8AM,1PM, and 5PM] which my neurologist thinks is a lot, so he has prescribed me to start on IMURAN (azathioprine) 2X/Day.  The hope is I will maybe be able to reduce (or maybe eliminate) the 11 mg of prednisolone I take per day.  Swallowing has only become an issue recently, but I am still hoping I am not going towards gMG – so far no other muscle issues (Its been 4 years since initial diagnosis)