I am taking Mestinon on a symptomatic basis.

Eyes: (works consistently)
It works after 20 minutes increasing close-up focusing by 20-30 cm and double vision/unclear distance vision clears up completely for some hours.

Breathing: (consistent)
I still canīt get over the power of a little pill to restore diaphragm weakness to automatic gear.

Deltoids: (very inconsistent)
Alters physiological sensation of and also increases number of arm lifts by 70%.

Trunk muscles: (no effect)

Swallowing muscles: (no effect)

Other non-myasthenic muscles: (no effect)

The bulbar symptoms are what bother me the most at the moment and I wonder if what that means is that it might take a stronger medication to tackle these remaining symptoms which Mestinon isnīt reaching - or if it is simply a case of Mestinon going wherever it pleases in addition to our muscles behaving unpredictably on the receiving end.

Thanks if you know anything about this,

Anacrusis