Just wanted to follow up that there hasn't been a change with my vision or health. I tried the Mestinon and that did help with fatigue but didn't touch the vision issue. I started Lexapro for a few weeks and it helped with the depression. Counseling is so so and I'm not sure if I like my neuro-psycologist. Anyways, I get my lumbar puncture results tomorrow. I started getting Tinnitus last week where it was loud enough to give me a tough time falling asleep. I told my doctor's and they said try tapering down the Lexapro and I may try something different. Sucks, because I was doing well until that started. My ears have been pretty sensitive to noise as well, and I don't know if some of you know this or not, but apparently MG can effect hearing and cause hyperacusis because of weakened ear muscles. I'm not going to say that's what's happening to me right now, but who would have thought?