I'm a male. I was extremely active my entire life and athletic. Football, wrestling, softball, and volleyball. I love being outdoors. The reason MG, I think was overlooked, is because not only is it so rare (so they say) but I didn't hit the normal age group ( I started with symptoms around (21). Women usually get it my age. Now something to go alone with Mrs D and her vaccine comment, I not only think that's a contribution, but it's also the chemicals and hormones used in our food/water that I think cause some of these conditions to activate. I never had any issue until I moved to Florida from New England, so perhaps there was an environmental change. I think it was exposure to mold down here. Who knows though, I'm sure there is some genetic disposition. I don't want to make this thread about me, but I'll be happy to let you know what I've done, who I saw, and what it took to get a diagnosis for atleast the MG. I'm still in limbo with MS and my neuro thinks I may have atypical MS, but nothing diagnostic to prove it, only symptoms. MG can cause some pain in my opinion because of weakened muscles and I even have heard from other patients and see in articles that we have tiny muscles in our ears that can be effected, causing symptoms such as hyperacusis. Of course I am no physician and I'm not qualified to DX, but I'm happy to share my experiences. Get the blood test for it, it couldn't hurt. Gd luck with your other testing, there are wonderful people on Neurotalk.