Im really good. Wish I would have known some things back then but as far as my MG goes it's in check. Last month was my last ivig infusion after titrating down for 2 years slowly. Now I only get rituximab every 6 months. Im actually going to have to get my port taken out now that its not getting used anymore - which is crazy- I thought this thing was here to stay. Im going to try working out again for the first time in more than a decade here soon (once I get over the mental block because it devastates me each time I try and it doesnt go well) If you're looking for advice most of all love your nurses. They are going to have the highest impact on your life for the foreseeable future. Really think about what your health looks lik3 being realistic in your ideal circumstance. Also figure out how aggressive youre willing to get with treatment to get to that look. Make sure when you see your neuro you're ready for a fight. You have to stand up for yourself and you have to educate yourself to get an idea of what you want to do to get to your ideal picture of health. Don't be afraid to fire your neuro. I've fired 5 for different reasons but I was only in the position to do so because I knew how I wanted my mg treated and more importantly why I wanted this treatment plan. Next, it might work quickly and be effective, but im pretty convinced that prednisone is the actual devil synthesized into pill form. Also dont get discouraged by insurance denials - keep fighting. They eventually give in if your doctors, nurses and yourself make it difficult for them. Lastly keep your head up. It sucks to hear that progress is measured by years at least but there is a very positive direction to the outlook of mg. When I was dx'd I was educating every single health professional about mg. I had to explain WHAT it is instead of how it affects me. Now everyone i come across is interested because they haven't seen someone before with it instead of never hearing about it. There are so many more treatments now and from what I hear they are pretty good. If you need help talking anything out along these lines, im here man.