I have seen two neurologist and both were not really comfortable giving me the diagnosis. i go to mayo clinic in aug (a year after this all started). i read on some of the forums that mestinon if given to a non mg person will make them sick. i can take up to 180mg and not get sick at all but feel slightly better for bit, but it does not drastically improve my swallowing. i eat fine when i get up, gets worse as day goes on. i have periods of weakness really bad. cutting grass in heat makes all this worse. not know really bugs me i guess so thought i'd see if telling my symptoms to those that have it helped me in feel like i'm heading in right direction by seeing the MG specialist at mayo