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    I was 58, for me the onset was ferocious. My vision suddenly doubled, then within an hour the side of face began to drop, my speech started slurring a short time later. Finally my whole left side went weak. Ack! A stroke I thought. At the ER a short time later stroke was ruled out and the Doctor in the ER called in an opthalmologist who quickly diagnosed MG. So, a blood sample was drawn and within a week I found out I was ACHR positive. Despite initial high dose steroids, I had my first big crash. That was 2014, the battle continues.