That is a good point! Iīve heard members here say that MG can affect more than just the standard voluntary muscles in the body. After years of working with over the limit decibel exposure I put the hyperacusis (severe) and tinnitus (mild) all down to hearing damage over time. It was so bad I was wearing musicianīs earplugs with special filters to protect those tiny delicate little muscles and be able to go about my normal day.

Much to my amazement after this many years of having it, the hyperacusis and tinnitus have gradually disappeared in tandem with the other myasthenic weakness for eg, eyes, breathing, swallowing, deltoids, trunk etc etc over the space of a two year period.

It is very odd to have all the myasthenic layers peeled off and be left sitting there with the slight noise damage in my left ear that I had all those years ago before I started suffering from myasthenic muscle weakness.