Mrs. D, I think that typing with two fingers can easily make AChE be ACE! Good to clarify that though.

Huperzine-A is a cholinesterase inhibitor. Acetylcholinesterase is an enzyme whose job is to go and "eat up" acetylcholine after it's done its job. What Mestinon, and supposedly Huperzine-A, do is to inhibit that enzyme so that we get more acetylcholine.

AChE: Acetylcholinesterase
AChR: Acetylcholine Receptor Antibody
ACE: Ace inhibitor, is actually relatively contraindicated in MG!

Do you think they can make these abbreviations even harder to differentiate?!

The nightshade foods (potato, tomato, eggplant, peppers, nicotine) and caffeine are also "natural" cholinesterase inhibitors.

Please be careful with going on and off meds, even if they are over-the-counter ones. You could go into an MG crisis. And stay away from heat, it can make MG worse.

Keep asking questions, reading and typing!

Annie