My exhaustion has severely limited my life lately.I usually take a 3 hour nap in the afternoons as I get really tired, lately I get really tired in the mornings as well.

In addition, I have removed any supplemental magnesium from my diet and I have focused my diet on more “clean” foods. Nothing processed. All has improved my energy levels.

Now that I have finished my second round of Vyvgart, I definitely feel like I have a little more energy and now I try to stay up until 9:00 or so. Otherwise I wake up around 3:00 to go to the bathroom and can't get back to sleep. I have learned to do well on 6:00 hours but try for 8:00. I can get to sleep most nights but have issues staying asleep.

Get rid of the pretzels.

I had the same issues. However since increasing my D3 and B12 supplements and adding in CO-Q10 along with exercise I have found my energy levels have improved.