Thanks for sharing your experiences and thoughts.

I really have no idea what is going on. But I am sure there is something going on since I just keep losing stamina despite exercising.

Has anyone ever had their cheeks affected. I've noticed when I smile after a few seconds my cheeks start to tremble and my lower lip shakes a bit.

The neuro's response to that was it was tension. I don't really understand that.

Since my fatigue has been chalked up to bad sleep for years it would be nice to know if that is the case.

My rheumy followup with me yesterday. She's so kind and available. She was just letting me know my MRI was normal. I'm glad I've got her on my team.

If the sleep study doesn't yield answers I'll definitely push further to rule out MG.

Thanks again for your time here.