It's always good to get a 2nd opinion on treatments.

I'm sorry your family has had so many heart issues. Do you know the reason for it? Antiphospholipid Syndrome can run in families. Have you been checked for that and any other clotting disorders?

Congrats on the weight loss! That's very hard to do, especially with MG.

I am only on Flovent for asthma and I can't do other immunosuppression.

It's a tough choice. I hope you can figure out what works best for you. Please talk to your primary doctor about figuring out whether there is a specific risk factor for heart issues in your family!

Take care,
Annie