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Hi Taxidriver. I just read your post and identified with much of it. My MG also started with swallowing issues, but I was diagnosed quickly. The Dr thought I needed my esophagus stretched and when he saw that wasn’t the problem, he drew blood and sent it to be tested for MG. I’ve had IVIG infusions and currently on Vyvgart infusions. The prednisone and generic Mestinon do little for me. I’m currently flaring due to a bout with pneumonia. My vision is really bothersome right now. Hope you are doing well and hope I will be soon.