If you can find one, I highly recommend an ophthalneurologist! That's who diagnosed me. Yup, even though I don't have eye symptoms. First, he saw eye symptoms I didn't notice, and second the single-fiber EMG (SFEMG) he did on the muscles of my face was very clear to him (even though I haven't noticed any weakness in those muscles). I'm not the only one on this forum who was diagnosed by an ophthalneurologist after regular neuros couldn't figure it out.

Many neurologists are willing to let patients with suspected but unproven MG try Mestinon. It is fast acting (I mean that it kicks in in about half an hour, and leaves your system in about six hours) and pretty harmless. Some people get diarrhea, but most tolerate it well. It inhibits the enzyme that breaks down acetylcholine, which is the chemical your nerves release to communicate with your muscles.

Anyway, if Mestinon does wonders for you, that's one more reason to believe you have MG.

Abby