Annie - thank you so much for the advice and help!! Luckily they aren't even recommending steroids. In addition, my neuro sees a number of MG patients and has me on Pyridostigmine (plus Neurontin for my neuropathy). After a 4 week trial on this med to see how it works, she will include physical therapy as well. I will see if I can get a pulminologist recommendation from her as well. I already have asthma so it's definitely a good idea. The unfortunate part is that I live in Florida and summer is coming up so thank you for the heads up on the potential for flare ups in the heat.

Thank you again!!