Hi, yes you are right, one of the first symptoms was feeling very rundown and extremely tired. In fact the first doctor i saw diagnosed me with depression and put me on anti-depressants, which of course was incorrect. It took another year before i was diagnosed through a routine blood test. The doctor couldn't believe i hadn't noticed the weakening in my leg and arm muscles, i guess i just got used to it. It wasnt until i looked back on it all that the tripping over and dropping things began to make sense. Whenever i had the pain i just took nurofen and got on with it. So it all came as quite a shock to me when the diagnosis was confirmed especially since i am not that old. Ironically my father in law has the same disease although his is much more severe because of his age. He had tiredness too, weakness and difficulty with swallowing. From what i have been reading it seems different people suffer with different symptoms and i think recovery depends a lot on how quickly you are diagnosed. I have been told it is a wait and see approach, depending on how the body responds to the medication and so forth. Hopefully some others will be able to give you some more information. I really hope you are feeling better soon. Take care.