Hi Roger,

Sorry I just saw what you wrote now.

I don't know if my answer is still relevant, but I think you should always do a little less than you think you can.

Initially, you will probably err on doing more, not less. Because, in the early days of MG it is hard to comprehend how much less we can do. (at least this was so for me). You think you have done nothing, when you have already exceeded your limits.

In my opinion, any sign of weakness following exercise (which can be up to 48 hours) should lead to a slight decrease in the exercise level.

Once you find the optimal level and you are stable for a few months, you can gradually increase it, in very small steps.

Also, make sure that you have proper nutrition before and after your exercise (this is true for everyone, not only MG patients).

Hi Lesmom,

I agree with Annie that your elevated white count should be evaluated properly. Most neurologists wouldn't know much about it, just like most hematologists wouldn't know much about MG.