I have had 3 infusion sets so far ( set= infusion once a week for 4 weeks ). I take Pyridostigmine Bromide 60 mg x 4 a day and prednisone 20 mg once a day. I had three Crisis from end of March to mid June. Went to ER for one of those and hospitalization, ICU for the last two. Ivig had no effect. Plasmaphereses had results after third infusion, after fifth infusion completed I felt like a king for a week, then experienced the worse month of my life. Had Vvygart in early July, after I finished my 2nd set of plasmaphereses during second hospital stay. So I wasn't sure how I would have felt with the first Vyvgart infusion, because plasmaphereses in past had great results for a week. But I felt great for the next 5 weeks. Then I felt discomfort around my shoulders and back for the neck. I have some difficulty breathing about two weeks after last infusion, after each set for a couple of days then I feel stronger than the week before breathing problem began. I feel really good and look and sound normal, but I still tire easily. Life from March to end of June was horrible, life before that was hard. I will take hard over horrible.