For me mestinon means not choking on my food or saliva, being able to go up the stairs to bed, making it to the bathroom before I have to urinate, not falling, stumbling and tripping, not slurring my words.

When I was first diagnosed with MG, I tried to live a normal life---do the housework, yardwork, shopping etc. I only made my MG worse which sometimes lasted for days. By doing too much, you may be preventing yourself from feeling any improvement from mestinon. Try to slow down and take it easy and notice how you feel a half hour, 2 hr and 4 hours after mestinon to see what kind of improvement you have


Good luck
kathie