Thanks for the comments. I appreciate, welcome and encourage the feedback and insight of those more experienced and knowledgeable about MG. i posted with goal of sharing good news but also hoping for feedback, so thanks again. I am first to admit medical things are sooo way out of my wheelhouse.

I am trying to do the right things for myself to make best of my situation and i am certainly trying to be aware of and respond to what my body is telling me is ok. (last night i slept 9.5 hours bcs when i was awakened after 8 i was still tired). Re the mestinon increase, i think my body generally had a very high tolerance to meds and after 2+ months of mestinon i was confident that at about 2.5 hours afteer dose i was noticing weakness, vision issues.

I am somewhat obsessive about things in general so since starting meds i have kept very detailed notes about timing and response to meds - otherwise i found i could take pill and then 10 minutes later not remember if i had or not.