after trouble swallowing then muscle fatigue in the legs and neck and shoulders it took 2 years for some kind of diagnosis. j After blood tests showed no acetylcholine receptors I was told I had MG. The symptoms all matched-muscle fatigue & weakness, trouble swallowing, issues climbing stairs etc. I went to 5 neurologists and even spent a week in Minnesota at the Mayo clinic and no other doc diagnosed me with MG. I had several painful emg test and nothing conclusive. I went back to the doc that diagnosed me and he said I have generalized refractory exacerbated MG. Initially he had given me prednisone and mestinon and they messed me up so bad I was thinking suicide. MG is not a progressive disorder but I keep getting worse.