Originally Posted by PhotoBug50

Personally, I did not notice much of an improvement in chewing strength and improved swallowing until I got up to 60 mg's Mestinon 4 times a day, taken during daytime, so each dose is 4 hours apart. IVIg and presnidone may also have helped improve it, but I see more of a cause and effect with Mestinon. Speaking is okay now with me, except that I an stuck with that weak "Godfather" voice, but it beats the "Hellen Keller" garble that occurs when those muscles completely fail. Going in for Thymus Cat Scan with contrast today....will see how that thing looks. Still early days, diagnosis just one month ago, although I clearly had deteriorating symptoms for the last 6-8 months. Peace be with you. P.S. You know if you have a good food processor or blender (I have the Vitamix 5200) you can whip up some pretty good tasting and nutritious stuff in there. I've been combining fresh veggies right from the garden with organic fed chicken. It comes out in a puree but boy is it tasty...and easy to swallow.