[Genevieve]

As someone who is entering my 3rd decade of MG living (it developed early in my college years), my experienced observation is that your myasthenia is progressing. After 10 years that is common, but you are on the very lowest dose of Mestinon which is prescribed. It is time for a new checkup with your neurologist- and I would verify at this point that your dr is a neuro-muscular specialist. If they are not specialized, it is time to find one. You will get through this, and regain your strength again- there are so many more treatment options now than a decade ago!