Good thought, Mrs. D. I just wanted to augment what she said about dumping syndrome. Mestinon can cause a sudden increase in peristalsis and, therefore, dump food you just ate into the small intestine before it gets a chance to be digested well first in the stomach. Since many of you eat with Mestinon to reduce some of it's side effects, that's a possibility. I had dumping syndrome from a lack of acetylcholine but recovered after I started taking Betaine HCL with my meals. No, I don't recommend you try that! Too much stomach acid isn't good either.