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What is it you’re trying to accomplish - maximum relief from Myasthenia or just how to deal with it, it makes a difference. Also no matter what you do will give you different results than someone else. I read and researched everything I could and I found that 99% of what I read was talking about the symptoms. How the nerve and muscles are affected. But until I start looking how to stop the symptom I was locked into an endless cycle of drugs.
MG is linked to some weakness in your system and trigger by an unrelated event. Mine can be trigger by infection, celiac, obesity and lack of exercise. For many years I lived for the job and my stress was high. I spent 6 yrs. looking for relief. This is what works for me and others that I have spoken to that have followed the same path.

Change your life style.

• Start eating very nutritious meals
• Reduce processed foods to a minimum - none is better
• Get all of the vitamins that you require. (Lecithin 3.5 gm., all of the B vitamins, Fish oil, and Manganese 15 mg, multivitamin and this per day).
• Stop eating all products with Gluten in it for a month to see if you find any relief - forever is better. Then do the same with dairy.
• Reduce your meat in take to 15% - none is better.
• Don't eat processed soup its garbage. Make your own by rendering soup bones. This way you get all of the vitamins and minerals you don't get in prepared soup.
• Reduce your weight
• Reduce your salt intake to 1500 mg per day or less
• If you have high blood pressure take the pills

• The last thing is exercise every day. Start slow and work yourself up.

At the end of the 2nd world war prisoners of war in Singapore were suffering from Myasthenia and after being put on a nutritious diet and vitamin therapy they regain full health. At one time England had so many people with MG it was an epidemic. Again a nutritious diet and vitamin therapy resolved the issue.

Do not have your thymus take out just for the sake of doing it. I have a link to a paper but I can't send it on this forum you would have to email me. jamejone#brktel.on.ca (you have to put the "At" sign)

This is what I do you make up your mind what you are willing to try.

I am a Tai Chi Instructor, I walk 2 - 3 km a day, and I do some strength training and meditate to control stress. So I know how this has worked for me and many others.

I take no Mestinon at the moment and the Imuran is down to 25 mg per day.

I don't know how you will react if you do all of these things I have suggested. This is something you have to find out for yourself.

James