Hi Darci!

Glad you are responding to the Mestinon! And I think it's great that your doc has you slowly increasing your doses slowly. It will give you the best feedback on what is enough or too much (which, of course, changes with weather, activity, stress, etc.!!)

You may be lucky and have no side effects with Mestinon. I don't. Anyway, it won't change your antibody levels at all, but it can distort EMG's. Annie has the best description of how it works....but think of it as a drug that slows down the deactivation of our muscle 'go juice'. It takes about 20-30 minutes to kick in and lasts for about 4 hours. Think of its effective time on a bell shaped curve - takes a bit to kick in, great coverage for a bit, then the effectiveness begins to wane.

Will be curious to hear what the second blood test shows - never heard of antibody levels as high as yours!