Hi Annie and Mike,

Thanks to you both.

I've been trying to lift in spite of my symptoms but frankly it hasn't been going well. I've stopped really enjoying it and struggle just to make it through a workout. It's the only exercise I normally enjoy though, aside from things like hiking and beach walking.

Does mestinon build up in your system at all or is it completely temporary? In other words, is today as good as it will get or will it be more (or less) effective with time?