I was diagnosed two years ago at 70 but looking back I now realize I had symptoms about 2 years prior but didn’t understand what I was experiencing. I did the mestinon and it worked for about 6 months and then nothing. I’ve been hospitalized 3 times since my initial diagnosis. I started Vyvgart and did 22 infusions and again nothing. In December I started Ultomiris and after my first two treatments I thought great this will bring me back to feeling like myself but have not felt like I did after the first two treatments. In June my doctor, a neuromuscular specialist added cellcept in addition to my infusion. Started at 1000mg with no change and increased to 2000mg this past Sunday. I’m hopeful this will make a difference. The most difficult thing for me has been the change in my lifestyle. I was always a very active person but I’ve had to make major changes in my day to day activities. Everyone is different so make sure and track your symptoms on an ADL scale. You can download it so you can talk to the doctor about them. Good luck and remember one day at a time.