Scott,

I take five a day. The mestinon act as a shield around my muscle
receptors. It is effective for about 3hrs, then it starts to wear off
and my immune system see the receptors as a foreign body and destroyes
them. This leaves me with a muscle that can't respond to the signals
from my brain.

I can't pick up my "Manhattan" :^) Needless to say I don't dare
singlehanding without proper medication.

Ole Thom