This thread is bordering on getting medical advice from an Internet forum. It's great that we can help each other with our experiences but only a doctor can give us answers for our own specific needs. We all have individual health profiles and it's often not only MG that is a part of that.

Also, some posts may get lost in a long thread like this. It might be a good idea to start new ones if you need specific help. I personally find it hard some days to sift through long posts like this. Too much reading while having double vision.

Anacrusis, I hope you found a pulmonologist to help you. Neuros are out of their specialty on breathing issues.

PhotoBug, There are a lot of reasons for why you might get more tired during that time of day, like diet (carbo or coffee crash), low thyroid, insufficient cortisol and lots of other things. We are mammals and our bodies do "want" a nap in the afternoon. I hope you'll talk to your doctor about all of this, since you just started meds.

Annie