Isolated respiratory muscles weakness is an unusual presentation of Myasthenia Gravis (MG). We present a case of 49-year-old male with undiagnosed MG who presented with fluctuating dyspnea on exertion and at rest. There was no peripheral muscle involvement. diagnostic tests and standard electromyography was normal. https://www.ofertastrailrunning.com/product-category/holiday-art/