Shannon, You and I seem to be in the same boat. I too am trying to get things "figured out" I have seen more Dr.s in the past 8 months than I thought possible, told I have MG {I knew that} also fibromyalgia, low thyroid, and now working on seeing if I have ulcer or gallstones, also have Alpha-1 so many DX's but still no answers. I am almost ready to tell them all to take a flying leap..LOL I don't have the extreme fatigue but the weakness is MG, hate when I drop things and then have trouble picking them up fibro causes pain, that I know but I also notice others with MG have pain too. I wish I knew something to tell you but I feel dumber than a rock.