Hi,

I think the "AI chemo" he is referring to is "immuno-ablative" chemo, or reboot. That is a huge step, and it would be somewhat reckless of a doctor to recommend that without at least 3 treatment failures using other immune suppressing drugs. With your age being 60, you are pushing the limit there as well. You also need to have almost pristine health for such drastic treatment--aside from the MG, of course.

Scott, have you tried prednisone? That usually works very quickly and can be good to get on board while choosing another, slower acting immunosuppressor. Since your symptoms are mostly bulbar and ocular, do you have MuSK MG? If so, that is more difficult to treat and requires slightly different treatment.

Good luck...keep searching for answers!