I think this is an issue, no matter what your age is. If you have a medical problem, that causes you to be different, walk different, look different, folks have a hard time getting past that to know you. I wear a hat, I have for years, I have no hair. People are visual, and men are in particular. I try to break the ice by laughter, or saying hello out of the blue and surprising a person. Just do the best you can do with friends. If they truly are a friend, they won't mind the medical issues you have. I know how serious MG can be. Empathy is what is needed to break the ice. I wish you all the best, and a good holiday. ginnie