I take the generic Mestinon and take a probiotic before I eat and the Mestinon after. That has helped greatly with the diahreah situation.

Mary I take Pyridostigmine only for my MG and at first I had terrible diarrhea , some one on this site I can't remember who told me they take it with milk , or cottage cheese , mac& cheese, pudding , crackers some kind of protein it doesn't have to be a lot about 2 oz. of milk , 2 crackers tablespoon cottage cheese , and one of those pudding cups , I also drink Activity dailies probiotics yogurt drinks they come in a 8 pack next to the yogurt my diarrhea has almost gone away except when I eat a lot of fresh vegetables fruit doesn't bother me , so not I don't eat a big helping of vegetables it was hard at first because I love vegetables and was brought up eating lots of them❤

Thank you everyone for your input on this. I will visit with my Neurologist at my upcoming appointment about other options.

I know someone who took low-dose Naltrexone for years for psoriasis & it never helped in the slightest. I took Mestinon for a few days while still in rehab but quit because it gave me watery lungs & throat. What I do now is infusions of Vyvgart--4 once a week, then a month off. It does help. I am able to have an Option Care Health nurse come to my home for this & my insurance pays for it. My Neurologist orders it. The home care might be accepted by the insurance company because I live on the small island of Kauai where there is no infusion center & it's not feasible to fly to Honolulu that often for treatment. Option Care Health is a nationwide company.