Hello, I am newly diagnosed as of November '22. I am responding well to Pyridostigmine, with speech and swallowing problems greatly reduced. Now my neurologist wants me to take Azathioprine (Imuran). I asked him "what additional benefit" the new drug would have and his response was.... "Azathioprine is part of the treatment protocol." We went back and fourth several times and he never answered me. I am reluctant to take more drugs when I am doing well and was wondering if anyone else in the group is on both drugs and what your experience has been.