First, I honor my body and I see a mental health care provider. When I feel fatigued I take a nap, but my therapist helps me to discover, how; lifestyle and work concerns can worsten my MG symptoms. I have have had to learn to accept that my life has changed and I must delegate tasks. I can't "shop 'til I drop" anymore without calling 911. Instead, I identify the places I need to go and I choose which one or two I can handle today, not what I could handle last week. I have begun paying attention(write it down if I need to) to what I have been doing not only in the moment but over a full 30-31 days. I look for what caused the increased stress levels and how I responded to those situations. What caused me to use too much energy. I look for ways to reduce or eliminate such issues from my life. My therapist has been great with offering helping me in this area. Finally, the last concern is difficult and doesn't make sense when we consider what MG does to the body but don't skip the gym. Every physical therapist who works with people living with disabilities have told me the longer I can stay strong longer I can fight some of the MG problems including fatigue. Just start slow.