I think that both Annie and DesertFlower have touched on an important factor in the decision of how to treat (or not) MG. It's what you might call a profile, made up of past reactions to drugs in general, susceptibility to infections, general states of health. It's a little hard to put your finger on, but when DesertFlower says "I have a history of bad reactions to drugs" or Annie says "I have issues with easily getting infections"--those things may not be quantifiable, but they're hugely important.

I am probaby going to try the Imuran. I have a different sort of profile. I tolerate drugs very well--none of the sensitivities, bad reactions, or trouble with side effects that I often read about--and my immune system is generally so strong that I feel it's less risky for me than for some to compromise it with an immunosuppressant. I am also worried about other autoimmune diseases, like MS, down the road. I also have a relatively mild case of MG that is presumably more likely to respond to the Imuran.

So, this could be a disaster, but even if it is, I'm feeling like this is a reasonable decision. Not a "correct" one--there's too many variables to be able to pin that down!--but a sensible option. It's rather scary, though...

Thanks, guys, for talking with me about this. It is helping me clarify what exactly I'm doing and why.

Abby