Reply To: Morning vs. evening MG symptoms: When is your energy strongest?

[Community Member]

For me, fatigue is a huge issue that makes dealing with everything else that much harder. A little after 9am, I usually start slowly with my AM meds (including pyridostigmine bromide 180mg, Armodafinil 250mg, Sunosi 75mg), breakfast, and a variety of caffeine sources before I can kick into gear. Around 3:30pm, a slump hits that signals the need for my 2nd pyridostigmine bromide dosage (and caffeine) to carry me through the late evening. On the plus side, I recently started increasing my daily exercises, which will help me keep dancing!