Hi, Harriet. Thanks for letting us know your name. You can't always tell by the forum name.

I'm a bit confused. Why would you have to darken the house to get rid of any gastric issue? Are you sensitive to light?

Gastroparesis would imply that your GI tract does not get food going through it. There are a lot of causes of that, including MG.

It sounds like you might want to be tested for a potential autonomic issue as well as the MG.

I hope you will at least consult a gastroenterologist for the GI tract issues. Neuros can only do so much. And maybe your internist/primary doctor could help with anything else.

You'd be surprised at how little B12 from food is absorbed, especially since you are on a proton pump inhibitor. No wonder your GI tract is messed up. We all NEED stomach acid! It gets the whole GI process going. I get my B12, by the way, at www.iherb.com because of their reduction of cost. I like the Jarrow Formulas brand (5 mg.) of sublingual B12.

It sounds like you are very sensible and have good doctors. I'm sorry that the Mestinon wasn't quite doing it for you.

Does anyone know of any good doctors in her area?

Annie