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Newly diagnosed

Start Your MG Journey 
With a Proactive Plan: A Guide for the Newly Diagnosed

 

Receiving a diagnosis of myasthenia gravis (MG) can bring a mix of emotions and many questions. A proactive approach can help you feel more informed, prepared, and supported as you begin this journey. Because MG affects people differently, building a supportive and collaborative relationship with your healthcare team is the key—you'll work together to create a plan that fits your needs, goals, and daily life.

This guide provides important topics to consider and discuss with your doctor. Using it can help you feel more organized and confident during your medical appointments and empower you to take an active role in managing your health.

Understanding Your Diagnosis and Creating a Plan

The first step is to gain a clear understanding of your specific diagnosis. This information forms the foundation of your care plan. A strong care plan starts with knowing your MG subtype, recognizing your personal symptom pattern, and partnering closely with your healthcare team. No two MG journeys are the same, but with informed choices and a personalized plan grounded in your specific diagnosis, you can navigate MG with more confidence.

Tips for Navigating MG

Daily management strategies can play an important role in living with MG. Tracking symptoms, making lifestyle adjustments, and having a safety plan are all key components of a comprehensive approach. But remember, before making any big changes to your daily routines or how you manage MG, talk with your doctor to make sure they’re right for you.

Discussing Treatment options

MG can be managed in several ways, and you and your healthcare provider will decide together which approach fits you best. Your care team will review your symptoms, test results, and overall health, then discuss the options with you. Together, you’ll talk through what each treatment is designed to do, how it may help, and possible side effects, so you and your doctor can make a choice that aligns with your priorities and ultimately feels right for you.

Common MG Treatments

Target acetylcholinesterase, an enzyme that breaks down acetylcholine, an important chemical that
transmits signals between the nerves and muscles.
Learn More About Acetylcholinesterase (AChE) Inhibitors

Target B cells—a type of immune cell that makes antibodies that play a role in causing MG symptoms—in order to reduce their activity and lower the production of autoantibodies.
Learn More About B-Cell Therapies

Target complement component 5 (C5), a protein in the immune system. In some people with MG, C5 activity can contribute to damage at the nerve-to-muscle connection. Because C5 also helps fight certain bacteria, C5 inhibitors can increase the risk of infections such as meningococcal disease.
Learn More About Complement Inhibitors

Have a variety of targets, including T cells, DNA/RNA replication, calcineurin, and folic acid, depending on the medication.
Learn More About Corticosteroids & Immunosuppressive Medicines

An advanced class of targeted therapies that work by lowering levels of the autoantibodies that cause the autoimmune attack in MG.
Learn More About Neonatal Fc Receptor (FcRn) Inhibitors

Target harmful antibodies in severe cases of MG.
Learn More About Plasmapheresis (PLEX) & Intravenous Immunoglobulin (IVIg)

Surgery to remove the thymus gland, which may be associated with MG.
Learn More About Thymectomy

*These treatments are commonly used in clinical practice to treat symptoms of MG but are not FDA approved specifically for this indication.

Building Your Support Network

You are not alone on this journey. Establishing a clear plan for ongoing care and connecting with others can provide valuable support. A simple plan—who to call, when to check in, and where to find support—can make day-to-day decisions easier.

Topics for Discussion May Include:

Follow-Up Care

What is the recommended schedule for my follow-up visits?

Care Team

Who are the different members of my healthcare team, and what are their roles?

Patient Resources

What kinds of patient support programs and community resources can I turn to for reliable information and connection?

Conversation Starters to Help Guide Your Next Doctor's Appointment

Before your next appointment, consider these key questions to discuss with your doctor.

  • How was my MG diagnosis confirmed?
  • What is my MG subtype (eg, ocular or generalized)?
  • What is the current severity of my condition?
  • What does the disease prognosis look like?
  • What is my treatment goal?
  • What are the expected benefits of each treatment option?
  • What are the potential side effects I should be aware of?
  • How might this treatment interact with my current medications or pre-existing conditions?
  • What kind of monitoring will be required while I am on this treatment?
  • What treatment options are available to me?
  • Which of my potential MG treatments, if any, have requirements such as vaccinations?
  • Who should I talk to about vaccines, my neurologist, primary care clinician, or both?
  • Why are meningococcal vaccines important for maintaining more treatment options?
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