I was diagnosed with in early 2020 and had a successful thymectomy in 2021. I was initially given prednisone but had severe swelling of legs ankles and feet so with the permission of my neurologist I weaned myself off this particular drug. I now take mestinon 60mg four times a day and mycophenolate 750mg twice a day. I have now been in remission for over three years with no symptoms and am in the gym four days a week. The thymectomy definitely worked for me