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I like the SQ form, as it is much more convenient. I does come with more frequent rashes and injection site reactions.

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How does this compare to maintenance Mestinon, and are there any studies showing superior efficacy?

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68% improvement with muscle strength in 2 weeks

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Autoantibodies in myasthenia gravis - PubMed

Autoantibodies in myasthenia gravis - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/40675742/

Autoimmune Myasthenia Gravis (MG) is a disease characterized by fatigable muscle weakness and autoantibodies. It can be divided by the presence of serum autoantibodies into two major categories where Immunoglobulin...

This review explores how IgG autoantibodies disrupt neuromuscular transmission in MG, outlines diagnostic assay evolution from RIA to CBA, and highlights implications for clinical diagnosis, management, and seronegative cases.

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The prefilled syringe option is very convenient for the patient especially when they have option to self administer at home. The in-person injection training has helped reduce office staff use.