I was diagnosed in July 2024 with ocular mg. I had double vision symptoms. Since I started on mestinon it has controlled the double vision. Now my only symptoms are some fatigue, however I do manage well. I had a trip planned from the US to Vietnam for next month before my mg occurred. Has anyone done extensive travel with a 12 hour time change and had their symptoms become worse? I'm trying to decide if I should still go on this trip as I have read that lack of sleep can make mg worse.