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Those of us with MG are told that we often have, or eventually develop, another immune related disease, e.g., RA, among others. See another Myasthenia Gravis literate (and experienced) neurologist. The MGFA has a list of such physicians across the country. You want a treating neurologist who is highly familiar with the disease (often called the “snowflake disease” because of the great variability in presentation from patients. Wishing you the best answers to your concerns, questions, and medical needs.