Maya Uccheddu lives with myasthenia gravis and has experienced how hormonal changes can shape life with the disease. She highlights how menstruation, perimenopause and menopause remain under-discussed in neurological care and calls for hormonal life stages to be accounted for in research, clinical conversations and guidelines.
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Acknowledgements
The author is deeply grateful to the members and volunteers of the Italian Myasthenia Association and the European Myasthenia Gravis Association, who over the years have generously shared their lived experiences, insights and reflections on managing symptom fluctuations throughout the various hormonal transitions of life. Their openness and willingness to share have helped to shape this article.
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