Reply to @terry1976 that is a great idea, pharmacist. Yes I have medication Pyridostigmine generic for Mestinon. I don't like being on the medication because of diarrhea side effects. However, of all the medication that I have researched for MG this one seems to be the better of all the rest. Give & take seems to be the medication game. My doctors have made me aware of all the different things that can happen when you have MG. The main one would be not able to speak. MG patients should all wear a medical bracelet for that reason. Unable to communicate. If you have to go to ER the medical team will see bracelet & will start evaluation of MG first and will continue other tests as needed. Thank you for your concern & helpful advice. My best, boomarang