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You described your pattern of brain fog and fatigue so insightfully. How it tends to be heightened after exertion or later in the afternoon is something many people with MG can relate to. It’s a good reminder that even small amounts of activity can be draining when energy levels are already low. I hope your current treatment brings some relief soon. It sounds like you’ve learned how to listen to your body and rest when you need to, which isn’t always easy to do. Keep doing what’s in your control -Jodi, Patient Advocate