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Greetings…..this is my first post in the MG forum since my initial one noted above and that was due to having moved several times. For Gail, I suggest you take the Pyridostigmine medication and allow your body plenty of time to get used to it but take it in accordance to your ability to adapt to it vs what the doctor orders. My Neurologist said to take 5/day and when I did, I spent more time in the bathroom than I wanted to be there. So, I stopped it all together and my condition went south even with the IVIG infusions. Two years ago I started taking it again at 3/day: 8:30 a.m., 1:30 p.m. and 6:30 p.m. This schedule works well for me even though my Neuro wants me taking it 5/day. The way I look at it is this: It’s my body and I take the medication to fit my need, not his.