Thanks, Annie. As always, you're a fount of good ideas.

I am leary of the radiation. I also know that killing the thyroid with radiation puts the eyes at risk: as the thyroid dies, it releases all the stored-up antibodies, which tend to collect behind the eyes, causing double vision. Sounds like a risk an MGer shouldn't take, doesn't it! Frankly, I'm trying to think of justifications for not getting the radiation, because I can't face a year of thyroid unsettled-ness! I could have a thyroidectomy and avoid the radiation, but general anesthesia is also something I should avoid if I can help it.

The reason I think I'm going hyper is that I've had a very familiar first sign: twitches of my right wrist, and a mild tremor (and no, I'm not on Mestinon). I actually have the pill-rolling tremor associated with Parkinson's, but with me, it's always been associated with hyperthyroidism. Boy oh boy, is this familiar. In the past, when I have had this symptom, my thyroid labs have always confirmed that I'm going hyper. My MG is actually pretty stable.

Female hormones, oi oi oi. Those sure do throw my MG around. I'm not on any hormones, no birth control or supplements or anything like that. I'm 46 and show no signs of menopause, though who knows. Women in my family go very, very late.

Thanks for your ideas, and thanks for discussing it with me. I think these things through much more carefully when I'm trying to explain them. For now, I think I'll wait a bit and see what happens.

Abby