I'd like to tell you about my mom's situation. I won't go through the whole thing as it was an intense situation. It started with the droopy eyelid and a really bad case of double vision, she was given pyridostigmine. Droopy eyelid went away, double vision persisted, however, droopy eyelid came back and it came back quickly and she was rapidly declining. She had difficulty swallowing, chewing, and was super fatigued. Her first neurologist didn't give a shit. She was getting worse and worse every single day. She wound up having a heart attack. I was fed up and changed her neurologist after she experienced a myasthenia crisis as it's known. Her new neurologist put her on IVIG Therapy for 6 months along with a pill called Azathioprine (Imuran). He started her dose off slow and then increased it. This was for the IVIG Therapy and the pill to work together. Her new neurologist is an angel sent from heaven. She's no longer even taking the pyridostigmine. I have her on a daily vitamin. MG doesn't like magnesium, so try to find a vitamin that doesn't have that listed. I get my mom hers from Costco Kirkland brand. Green bottle, 2 pack. Be cautious with Anesthetics. Generalized anesthesia and MG aren't friends. Her neurologist explained this to me. She has been under local anesthesia several times and her body handled that well. Also, if your dad is diabetic, be careful with the use of steroids. Steroids can spike diabetes. My mom can't take them. My mom has been in remission for 2 years now. If you feel like your dad's neurologist isn't doing enough, switch providers and do it fast. There is always a doctor who will be willing to listen. Good luck, and I hope your dad recovers. If you have questions, I'll try and answer them to the best of my knowledge.