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Thank you!!! Yes!!!! very helpful indeed. I am new patient and will start Vyvgart for 4 weeks soon…. also interesting to realize that the double vision was when the mestinon wore off… I’m taking Pyridostigmine. Is that the same thing??? It really helped the droopy eye lid which was clear closed to open up after about 24 hours. ..but do still have double vision when tired… also shortness of breath, weakness in picking up things, standing up, neck tired, too tired to talk… etc….. fatigue is big when the Predisone wears off … It seems to last about 5 hours between… so 7-12 and 5 … I’m at 60 mg a day. I really appreciate hearing your story!!!! I’ve been on for about 2 weeks now.