Thanks Annie! Very helpful. I was diagnosed with a single fiber EMG and musk antibodies were positive. I have not had notable muscle weakness at all and I have been able to lift weights without much trouble. I used to be really active running marathons, but stopped running because of general burnout after a race in May. My only real MG symptom has been the eye issues. No digestive issues with the Mestinon.

The doctor did call and told me to stop taking it. Will see him again next week. I am okay now and able to drink water fine.

Last night I had taken a dose and had the twitches about 90 min later. As of now, about 6 hours since I had the swallowing issue, I feel much better and the twitching has almost stopped. It might take a day to get it completely out of my system.