Hey! Do you know which antibody you tested positive for: (1)Acetylcholine receptor (AChR), (2)Muscle-specific tyrosine kinase (MuSK), (3) Low-density lipoprotein receptor-related protein 4 (LRP4)?
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MG is categorized as either ocular MG or generalized MG, https://myasthenia-gravis.com/ocular. Considering you are only experiencing weakness of the eyes, you would be labeled ocular MG. Sometimes MG only affects people with their eyes for years or their whole life. But, it can advance to generalized, affecting the entire body's muscles, often without warning.
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If you have not noticed any other weakness or trouble breathing, you should be good to wait eight weeks if you can tolerate the eye symptoms. If you are worried or anxious about the potential of worsened symptoms or want to stick to the safe bet, try and push that appointment forward or see if you can get in with another MG specialist sooner.
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You ideally want to begin on mestinon (pyridostigmine), https://myasthenia-gravis.com/treatment/ache-inhibitor, to help control your symptoms so that they do not worsen into generalized. But the main concern with MG is an MG crisis, which starts as immense weakening of multiple muscles and trouble speaking and seeing but can lead to respiratory failure if medical attention is not sought. So stay aware of your body and any new weakness you may notice. If this occurs, definitely push a sooner appointment, and go to the emergency room if you start noticing signs of an MG crisis, https://myasthenia-gravis.com/crisis
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Don't hesitate to reach out if you have further questions 😀 Here is a pdf with drugs that pose a risk to those with MG, http://nebula.wsimg.com/903ebe2c701eb4e72e3211dc9fb9064e?AccessKeyId=7F50FBE19A111D19DDAC&disposition=0&alloworigin=1. I would avoid anything labeled 3, 2, or 1, especially while you await that appointment.
- Jodi, Team Member