Sorry! I have my days with severe fatigue. Mestinon is helping but it has only been almost 2 months on this med. I also have a priszm on my eye glasses. It does help with the double vision tremendously. As each day passes i seem to get used to my episodes and realize when i need to rest inbetween my daily activities. It helps to rest alot. Sometime i feel guilty when i sit around the house but it's about what makes me feel better. thanks for your response.