Scrubbs, It's not the opposite really. I can start out a day okay and get worse after just walking up a flight of stairs. If I go out and do errands, I know that when I get home, I'll have to just lie down to recover. Sometimes, I have to sleep to recover. MG can "put you" to sleep you can get so overall weak. After I've gone out to do errands, I can have what I call "one day" and "two day" payback. The second day is always worse.

For me, it's highly variable. It is, however, a relative constant. There are no "MG-free" days.

If none of us have fluctuating weakness of a single muscle, then how can neurologists do an upward gaze test and our eyelids droop? Or push against one quadricep and it gets weaker after each push? Maybe the voice of a single muscle gets lost in the harmony of all of the other muscles being weak.

Just my thoughts, not trying to be contrary.

Annie