I have issues at time with raising my soft palate in upper mouth/ throat when I’m weak. Sometimes it’s hard to time my mestinon just right it’s a constant effort of trial and error

Linda, It helps to time my Mestinon with my meal times. I take 60mg 4 times during the daytime. I take it at breafast, lunch, dinner and bedtime. Hope this helps you!

Yes ma'am. It for sure is a constant effort.

I’m so sorry about voice loss. I feel fatigue in my diaphragm when I need prn meds. Usually mestinon helps. I am a singer/ musician/ music therapist and I do routine deep slow breathing exercises and relaxation. I also sing daily and play flute to exercise my diaphragm, throat and mouth muscles. I feel weakness if I sing or play for too long but regular short periods of practice helps.

Yes, I lost voice too. I feel, and sound, like I'm drunk when my MG is acting up!
I have regained most of my voice with treatment. I take Vivgart infusions, Mycophenolate and Pyridostigm.