Well, "playing with the dosage" is okay as long as you don't take huge jumps in it!!!! Geez. Sometimes these neuros, even the experts, act like Mestinon is a placebo. I'm glad you will be sensible, Kendra. An MG crisis is a whole new ball game and you don't want to end up with one. It can take longer to bounce back from that and it involves so many more invasive treatment options.