My neurologist would rather I take cellcept than increase the dosage of mestinon because of side affects. I discontinued cellcept because I felt it caused a pain on my right side. I may increase it in accordance with your suggestion. As far as my digestion, I've had a hiatal hernia on and off for many years. I think I might have had food poisening prior or concurrent with my getting MG because I suffered from severe digestive problems. I also think that I am a nervous person and some of the IBS comes from that. I also have an enlarged thyroid which seems to have gotten better after losing weight when I got the flu. Do you recommend prednisone as I really lack strength all over. I would like to get out of my apartment but dont have the strength. Thanks for your info -it is really helpful. Elly