I have had such improvement in my swallowing and choking ever since I started IVIG. But suddenly, this last week or two, after my last IViG, I've regressed terribly! I'm choking constantly on food and water, I cannot make a seal around the glass so everything is dribbling right down both sides of my mouth like it used to over the summer. I thought this symptom was gone. I am beginning to feel like this is a game of Whack a Mole...you get one thing under control and another pops up again, just like Chronic Lyme Disease! I cannot believe this swallowing/choking/dribbling issue is back again! I didn't know anything about MG or that I had it over the summer when it was a big problem, but now that I do I can also say I can't really smile well either. What is up with this? I guess I really shouldn't complain until I get in to my neuro and get on Mestinon. With 2 feet of snow, this week was out again.