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In this video, Zach, who lives in Portland, Oregon, shares his experience living with myasthenia gravis (MG), a chronic neuromuscular autoimmune disease that disrupts communication between nerves and muscles, leading to muscle weakness that worsens with use. His symptoms began in 2013 with severe blurred vision that was initially misdiagnosed as a migraine. Over the next year and a half, he developed increasing weakness in his legs, shoulders, hips, and jaw, eventually needing a cane to walk. Despite repeated doctor visits, blood tests for common antibodies came back negative, delaying his diagnosis until his condition significantly deteriorated and more specialized testing confirmed MG in late 2015. Once diagnosed, he began treatment, including a short-acting intravenous medication that temporarily restored his muscle strength, followed by longer-acting oral medication and adjusted IVIG therapy to address both MG and his primary immune deficiency. Zach highlights the financial and practical burdens of living with MG, noting the high costs of medications, insurance coverage, co-pays, and necessary medical equipment. He urges the managed care community to consider earlier access to newer therapies upon diagnosis to reduce prolonged suffering and disease progression. He also emphasizes the importance of support networks, as MG presents differently in each individual and can feel isolating for those newly diagnosed. Through writing fiction and nonfiction about disability and MG, Zach has found purpose and a sense of identity beyond his illness. He encourages others to understand that while life with MG brings challenges, a “new normal” can still be fulfilling and meaningful.