My achr antibodies are positive and ace levels are high. Diagnosed with myasthenia gravis. Presently on prednisone, mmf 1500 and pyridostigmine. Taken ivig also. Any suggestions for treatment.

Dr. Julie Mercy J DavidPhysiotherapist26yrs exp

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Adjust your eating routine. Try to eat when you have good muscle strength. Take your time chewing your food, and take a break between bites of food. You might find it easier to eat small meals several times a day. Also, try eating mainly soft foods and avoid foods that require more chewing, such as raw fruits or vegetables. Use safety precautions at home. Install grab bars or railings in places where you need support, such as next to the bathtub or next to steps. Keep your floors clean, and move area rugs. Outside your home, keep paths, sidewalks and driveways cleared of leaves, snow and other debris that could cause you to stumble. Use electric appliances and power tools. To help you maintain your energy, try using an electric toothbrush, electric can openers and other electrical tools to perform tasks. Wear an eye patch. If you have double vision, an eye patch can help relieve the problem. Try wearing one to write, read or watch television. Periodically switch the eye patch to the other eye to help reduce eyestrain. Plan if you have chores, shopping or errands to do, plan the activity for when you have the most energy.  

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