Around 15% of people with myasthenia gravis first experience symptoms in the face and throat. Because these are incredibly important muscles, the effects are more dramatic than when the condition affects other areas. One of the most common symptoms is impaired speaking. Less severe cases may cause the voice to soften or sound nasal, while more serious incidents prevent a person from making certain sounds. If the disorder weakens entire groups of muscles along the mouth and throat, speaking may become nearly impossible.

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