Elly, DO NOT make any changes to your Mestinon without the approval of your neurologist!!! I was NOT suggesting that you do that, nor would I.

I am not a doctor. You have to discuss all of this with them.

Cellcept and other immunosuppressants are often not given to elderly people due to the increased risk for infections, like pneumonia. IVIG may be possible if you don't have any contraindications like vein problems or allergies.

An enlarged thyroid is not normal. You should see an endocrinologist and be checked out. Graves Disease and autoimmune hypothyroidism often occur along with MG.

I wouldn't "recommend" anything. You have to ask your doctors what they recommend. Again, using immunotherapy like Pred or Cellcept at your age may come with too many risks. You have to consider quality of life as well as "fighting" a disease.

I hope you and your doctors can decide what to do for your MG.

Annie