Yeah I have been seeing the neuro each month until last month. I go again on March 19th. I went from 2 60mg dosages a day to 3 and then 4 where I am at now. Besides the Baker Cyst incident almost 4 weeks ago I have been oncall for work the past 3 weeks which also puts on added stress. I go offcall on Friday. Now that the swelling and bruising is almost gone I am hoping to have a nice quiet weekend and hopefully the Mestinon kicks in. If it's not better by Monday, I'll try bumping up to a 5th pill daily. I am still in the adjusting period to see what works best for me. If that doesn't work I'll drop back down to 3 pills as that seemed to work fairly well. I was only on 4 pills daily for 3 weeks before I noticed the worsening but I still think it was the Bakers Cyst problem that cause the relapse. I told my neuro already that I will refuse predisone already as I have been on that before for another issue 30 years ago and I don't need the added weight gain it gave me before.