Ocular MG transitioning into Generalized?

I currently have Ocular Mg. Not bad. I get double vision and prednisone makes it go away. It now takes 4 days of 60mg then weaning. The flares were coming every 6 1/2 weeks. I was taking Mestinon of course and now also getting Rystiggo infusions. I am starting my 3rd 6 week dose. Since the Rystiggo I have had 2 flares 8 1/2 and 13 weeks apart. Improvement! However after my last eye flare, my eyes did not totally clear up. They are off just a little. I can see clearly but only at certain angles. Doesn't bother me much at all. However I have another issue now. Low energy! Especially noticeable if doing anything strenuous. For instance, I was able to fish very hard for 4 hrs in my kayak today, but when I went to load it in my car I got extremely tired and had to sit down on the ground for a few minutes afterward. I have noticed similar issues doing yard work this past week. I get tired after only 30 minutes and extremely "sit down" tired if doing anything strenuous. Luckily I have a regular scheduled appointment with my neurologist in 2 wks. Does this sound like my MG is transitioning to Generalized? If you had Ocular MG and it transitioned to Generalized, how did it occur?

By the way I am a 73 year old male.