I'm pretty new to MG, after being diagnosed in February. I've been reading the experiences of others and it seems like most folks get up to their full dose of pyrigdostigmine and then are tritrated up on prednisone until they reach a level where all the symptoms stop. Then, they seek an immune suppression therapy that allows them to ease away from the prednisone. Does that pattern match what you have experienced? My neurologist seems to be ready to stop ratcheting up with a relatively low dose of prednesone (still symptoms of drooping eye lid) and rush on to IVIG, which seems pretty intense for this early stage (OMG only, so far). I'd be interested if you've had a similar trajectory or if there are usually other interim steps.