7 months into this journey. After a few weeks of a droopy eyelid, lab tests confirmed MG. Neurologist prescribed Pyridostigmine (Mestinon) and stated with 1 30-mg pill daily. Eyelid resolved nicely, and by Day 3, I went up to 2 30-mg pills. Unfortunately, that is when "all h*ll broke lose". Horrible bladder cramping and retention, (requiring catheterization which lasted months until a surgical procedure corrected it). Discontinued Mestinon on Day 4, and was replaced with 10 mg prednisone. Cutting back to 7.5 mg daily. Eyelid still good, but some blurry vision. Remains ocular, and maintaining thus far!