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This combination of symptoms - difficulty speaking, finding words, and changes after eating - can be related to bulbar MG symptoms. The speech difficulties you describe, including trouble forming words and completing sentences, are common manifestations of MG-related muscle weakness affecting the jaw and tongue. Given that Show Full Answer

This combination of symptoms - difficulty speaking, finding words, and changes after eating - can be related to bulbar MG symptoms. The speech difficulties you describe, including trouble forming words and completing sentences, are common manifestations of MG-related muscle weakness affecting the jaw and tongue. Given that these symptoms have been occurring regularly for 4 months and appear to worsen in the evenings, it's important to contact your neurology team right away. New or changing symptoms can signal disease progression or involvement of additional muscle groups that may require adjustments to your treatment plan. Muscle fatigue in MG often worsens throughout the day, which could explain why you're experiencing these episodes more frequently in the evenings. The combination of eating, talking, and socializing can be particularly taxing on muscles affected by MG. While these symptoms can be concerning, they're important signals that your medical team should evaluate.

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