I noticed that if you tend to overdose on Mestinon you'll produce more saliva and tend to choke more...also if you talk a lot you're fascial and neck muscles tend to get weak...I tend to pause for a few hours and things get better.

When I use to do PlasmaPheresies it eliminated my symthoms I'm now doing lvlg and tend to have problems with swallowing but more with my speech... especially when I'm near my renewal every 3 weeks. As mentioned in a earlier post there's not much we can do to improve symptoms.we have to learn to cope with which can get agrevating or ackward try to keep cool and breath in and out and usually calmes down.