With MG you have to try and understand the illness as much as you can, while coming to terms with the fact that there is probably much you will not be able to understand and just have to accept.

I have triggers I have been aware of from the relatively early days of my illness (such as heat, viral infections), triggers I have learned about with time (such as over-exertion, certain medications), triggers I learned of after much longer time (certain foods, cosmetics etc.)

With all that, I probably do have better control of my illness (than I did in the very early days) and better ways to avoid worsening, yet there are still times I crash for (what seems like) no good reason, and still times when it is just unrealistic to avoid known triggers.

So, I am also more ready to accept the fact that there are times when I have severe exacerbations and I just have to dive under until they are gone.

I realize, looking back that I would feel guilty and helpless every time this would happen in the past. In fact, I personally found more triggers and ways to control my illness when I stopped looking for them.