This is a common challenge for many of us with MG as well as those with MS. I, personally, struggle greatly with this. It was one of the hardest things for me to deal with as speaker and educator. Also, this is impacted greatly depending on how active I am or if in an MG flare/exasperation/crisis. Last hospitalization, it was very bad. That is where I learned of the connection ! - *Team Memeber Deborah*