Serene Forest

Wednesday, February 3, 2016

Periodic Paralysis Awareness Campaign!!

Hello All,

Great News!!!! Our Periodic Paralysis Awareness Campaign has now begun!!!! It will last two weeks. The final day to order will be February 18.

There is a choice of 4 types of shirts. We have a sweatshirt hoodie, a shirt for women (more fitted), a long sleeve shirt and the general unisex shirt. These are all available in grey/silver (for potassium). We added a cream (signifies paralysis) color shirt and a PURPLE shirt. Potassium turns purple when it we wanted to add some fun for those who may want to make a bolder statement!!!!

We need to sell at least 50 shirts in order for them to be printed. The prices vary depending on the type of shirt. The general unisex shirt is $21.00.
The shirts will be sent out after the campaign closes. They do ship out of the USA.

This company has an outstanding reputation and has been wonderful to work with.

Thank you for your support.....

Donations may also be made.

Please share this with everyone!!!!

Sunday, January 31, 2016

475 Members!!!

Thank you all for your support!!!

The following are the services and features of our PPN Forum:

PPN Support, Education and Advocacy Group:

PPN Books:
"Living With Periodic Paralysis: The Mystery Unraveled"

"The Periodic Paralysis Guide And Workbook: Be The Best You Can Be Naturally"

"A Bill Of Rights For Periodic Paralysis Patients"

(All found on Amazon and on our website

PPN Book Discussion Group:

PPN Genealogy Discussion Group:

PPNI Genetics Discussion and Research Group.

The PPN Learning Center and Workshop:

PPN Website Facebook Page:

PPN Author's Page:

Video about Periodic Paralysis:

Periodic Paralysis World Awareness Day Page:

Please check out our PPN Members World Map:

Thank you all for your support........

Saturday, January 23, 2016

Average Number of Paralytic Attacks Per Year?

Hello All,

Yesterday I received an email from a registered nurse researching some things about Periodic Paralysis. She had a question for which she could not find an answer anywhere.

This was her question:
Is there is an average number of attacks that patients with periodic paralysis experience per year?

This is my answer:
Thank you for contacting me. I am curious as to what context you are going to use this information??

You will not find this information anywhere that I know, because there is no such thing as an average number of attacks that someone with Periodic Paralysis has in a year. This is due to many factors, but the main three are that there are several different forms of Periodic Paralysis and within each of these forms, the symptoms and paralytic episodes can be very different for each person, even members in the same family. The second is because the causes behind the symptoms and paralytic attacks, which are called triggers, cause different symptoms and different types of paralytic episodes. The third factor that makes a difference is how well the symptoms and paralytic episodes are controlled. Everyone is different and many things can and do change over time for each person.

The episodes or attacks of paralysis are also very different. They may be full-body, which includes inability to move at all (eyes shut, no ability to speak, heart arrhythmia, blood pressure fluctuation, heart rate fluctuation, breathing issues…including cessation of breathing, low oxygen, choking and the possibility of death). The person can always hear what is going on, despite looking asleep or unconscious. The episodes can be any variation from this down to one leg or arm going numb or only the left side being affected, etc. They can also be flaccid or be total constriction of the muscles causing great pain. There may be ataxia or headaches, cramping or vision issues and more. Periodic Paralysis is more than periods of paralysis. These episodes may last for hours or days or may only last for a few minutes.

Triggers include drugs of any kind…including IVs, anesthesia, insulin, antibiotics, hormones, adrenaline/epinephrine, contrast dyes, anything over-the-counter…exercise, rest after exercise, exertion, stress…good and bad…weather changes, cold and heat, dehydration, menstrual cycle, foods, food additives, food colorings, processed foods, salt, sugar, gluten, carbohydrates, sleep…all stages…infections, influenza and much more.

If someone has discovered their triggers and then avoids them, and is following a p/H balanced diet and is managing their symptoms they may not have any episodes at all, unless occasionally they may accidentally get introduced to something else that may cause an episode. Some may continue to have episodes, despite doing everything correctly.

Some may never have an episode of any type, but instead have gradual permanent progressive muscle weakness PMW. Most all of us develop permanent progressive muscle weakness over our lifetime, especially those who were not diagnosed and treated in a timely manner.

To explain further, I will use myself as an example. Before I had a diagnosis, when my episodes became full-body, as described above, they became very severe lasting hours at a time. This happened four or five time a day and most of the time I was sleeping at night. This went on for months and months and no doctors understood what was happening or how to help me. We (my husband and I) finally figured out what I had and how I could help myself. All drugs were stopped, I got oxygen therapy, my husband began to feed me a p/H balanced diet, we discovered my triggers and avoided them. After a few months my episodes decreased to one or two a month, which were much less severe and shorter in duration. Several years later, I now have episodes only one or two every few months, however, permanent muscle weakness has nearly totally debilitated me. I am unable to do much more than sit in a recliner all day and must use a power wheelchair.

Over my first forty years or so, I had medical issues beginning as a child, all things easily explained away as other things, that I did not realize were partial paralytic episodes. Years of testing and wrong and unneeded drugs and medications due to wrong diagnoses changed/covered my symptoms and harmed me. It took over fifty years before I finally got my diagnosis of Andersen-Tawil Syndrome.
The average time it takes to get a diagnosis for Periodic Paralysis is twenty years. A great deal of damage can and is done during that time to the organs in the body, especially when misdiagnosed and improper drugs and medications are prescribed.

So, as you can see, there is no way to answer your question with a number. We are all different and our episodes are very different.

If you would like to know more please feel free to contact me.

I hope this is helpful.


Susan Q. Knittle-Hunter
Managing Director
Periodic Paralysis Network

Until later…

Friday, January 15, 2016

Normokalemic Periodic Paralysis Update

Hello All,

I have put together a list of articles, etc proving the existence of Normokalemic Periodic Paralysis....This may be used if you have doubting doctors...

You can make copies of the articles and put them in your medical file and other medical records to share with your doctors....

There is a form of Normokalemic PP...found by Dr Lehman-Horn...a real genetic mutation...CACNAIC.

It also happens in Andersen-Tawil Syndrome and Hyperkalemic Periodic Paralysis.

Newest studies indicate that potassium does not have to shift at all to create the symptoms/paralysis.

The information is below:

Normokalemic Periodic Paralysis

Blog Article:


Normal Potassium levels with PP:
Interesting information about Normokalemic Periodic Paralysis from the MDA in England.....Very very important to read and pass along to the doctors who are questioning those whose potassium remains in normal levels while having PP symptoms and paralysis......

”Normokalaemic periodic paralysis: In these attacks the blood potassium remains normal
In fact, it has recently been discovered that it is not the change in the blood potassium level that is the primary problem in periodic paralysis. The primary problem in all of these conditions is that the normal pores which exist in the walls of the muscle cells don’t work properly. It does seem that changes in blood potassium levels can further hinder the function of these pores and that is why changes in blood potassium can be relevant. However, other factors separate from blood potassium can also worsen the function of the pores, so a change in blood potassium is not essential."

Link for PP Labs: Normokalemic Periodic Paralysis
While researching something else today, I came across this and thought I should share it. Perhaps it can answer some of your questions about lab results and how they relate to our different forms of PP..

Hypokalemic Periodic Paralysis:
"Serum potassium level decreases during attacks but not necessarily below normal." "Creatine phosphokinase (CPK) level rises during attacks."

Hyperkalemic Periodic Paralysis:
"Serum potassium level may increase to as high as 5-6 mEq/L. Sometimes, it may be at the upper limit of normal, and it seldom reaches cardiotoxic levels. Serum sodium level may fall as potassium level rises."

“Also of note is that potassium levels do not have to range outside of normal limits to cause serious, even life-threatening paralysis. These diseases are not the same as having a very low level of potassium (hypokalemia) or high potassium (hyperkalemia) and must not be treated as such. The total body store of potassium is usually normal; it is just in the wrong place.”

Andersen-Tawil Syndrome:

Paralysis/symptoms while potassium is in normal ranges:

”Attack frequency, duration and severity are variable between and within affected individuals and may not correlate with ictal serum K levels, which may be reduced, normal or elevated.”

Genetic mutation for Normokalemic Periodic Paralysis:

New information has been published to relate mutations on the CACNAIC gene, also known as Cav1.1, is the first calcium channel related to Normokalemic Periodic Paralysis.

According to Lehman-Horn F. et al, “This study shows for the first time that functional characterization of omega pore currents is possible using a cultured cell line expressing mutant Ca(v)1.1 channels. Likewise, it is the first calcium channel mutation for complicated normokalaemic periodic paralysis.”

Until later...

Tuesday, January 12, 2016

Periodic Paralysis World Awareness Day February 7, 2016

Hello All,
The "Periodic Paralysis World Awareness Day" Page has been created by the Periodic Paralysis Network to help bring awareness about this little known rare medical disorder to the world. We have chosen February 7 as "Periodic Paralysis World Awareness Day" because it is the day I finally received my diagnosis after more than 50 years!! What a better day to use in order to bring awareness about this disorder and to make sure that others do not have to wait over 50 years for a diagnosis and the help they need? Research indicates that it takes an average of 20 years to get a diagnosis for Periodic Paralysis in today's world. This has to stop!!! More awareness and education is needed around the world about this disabling and sometimes fatal disease.

Our "Periodic Paralysis World Awareness Day" theme this year is "What Is Periodic Paralysis?" We are starting our campaign with an informational poster. We will continue to share information, ideas and more from now through February 7, 2016, which is our third "Periodic Paralysis World Awareness Day" in order to bring awareness to this rare medical condition.

Please join us!!

Susan Q. Knittle-Hunter
Managing Director
Periodic Paralysis Network
The Periodic Paralysis Network Forum

Support, Education and Advocacy Group:
"Living With Periodic Paralysis: The Mystery Unraveled" "The Periodic Paralysis Guide And Workbook: Be The Best You Can Be Naturally"
"A Bill Of Rights For Periodic Paralysis Patients"
Purchase through Amazon and our Website:

Sunday, January 3, 2016

Periodic Paralysis And Co-existing Medical Conditions

Hello All,

Most of us have been diagnosed with medical conditions, which co-exist with our Periodic Paralysis. There is a good reason for this. Research shows that metabolic disorders (PP is a mineral metabolic disorder) cause damage to the mitochondria creating mitochondrial issues/dysfunction (in my case lactic acidosis, exercise intolerance) this mito damage then creates autoimmune disorders/dysfunction (in my case...fibromyalgia, osteoarthiritis, osteporosis, peripheral neuropathy, allergies, and much more etc)

The diseases co-existing with your PP may be an indication of the advancement of the damage to your mitochondria and autoimmune system...I have used this information to create a method for diagnosing PP which includes the degree of progression or ‘level’, and the ‘stage’ to which it has developed.

From the "Periodic Paralysis Guide and Workbook"......

The Instructions (for the new chart):

The Number of Years Without a Diagnosis?

Age at diagnosis minus the age at the sign of the first symptom

Episodes of Paralysis or Muscle weakness?
Yes or No

Andersen-Tawil Syndrome Characteristics?
Yes or No

Form of Periodic Paralysis?

Based on Symptoms and Characteristics

Co-existing Conditions?

List and count then check the types: Autoimmune, Mitochondrial, Auto inflammatory or ?

Degree or Level of Progression?

Permanent muscle weakness? Exercise Intolerance? Permanent heart damage? Breathing muscle weakness? Other permanent Issues?

Check and count

Stage of Periodic Paralysis?
Stage One=periods of muscle weakness, or partial or full-body paralysis.
Stage Two=periods of muscle weakness, or partial or full-body paralysis and PP+ 1-10 (or more)
Stage Three= periods of muscle weakness, or partial or full-body paralysis and PP+ 1-10 (or more) and Autoimmune Dysfunction
Stage Four=periods of muscle weakness, or partial or full-body paralysis and PP+ 1-10 (or more) and Mitochondrial Dysfunction
Stage Five=periods of muscle weakness, or partial or full-body paralysis and PP+ 1-10 (or more) and Mitochondrial Dysfunction and Autoimmune Dysfunction

This formula is very clear to understand. It is sensible, practical and a more reliable way to diagnose Periodic Paralysis.

Here is a list of Autoimmune Diseases/Disorders/Dysfunction and Mitochondrial Diseases/Disorders/Dysfunction

From the "Periodic Paralysis Guide and Workbook":

Have you been diagnosed with allergies, autoimmune and/or inflammatory diseases?
all related to autoimmune dysfunction

(All Autoimmune)

Addison's disease
Alopecia areata
Ankylosing spondylitis
Autoimmune angioedema
Autoimmune aplastic anemia
Autoimmune dysautonomia
Autoimmune hepatitis
Autoimmune hyperlipidemia
Autoimmune immunodeficiency
Autoimmune inner ear disease
Autoimmune myocarditis
Autoimmune oophoritis
Autoimmune pancreatitis
Autoimmune retinopathy
Autoimmune thrombocytopenic purpura
Autoimmune thyroid disease
Autoimmune urticaria
Axonal & neuronal neuropathies
Behcet’s disease
Celiac disease
Chronic fatigue syndrome
Chronic inflammatory demyelinating
Chronic recurrent multifocal ostomyelitis
Crohn’s disease
Congenital heart block
CREST disease
Demyelinating neuropathies
Discoid lupus
Dressler’s syndrome
Goodpasture’s syndrome
Graves' disease
Guillain-Barre syndrome
Hashimoto's encephalitis
Hashimoto’s thyroiditis
Hemolytic anemia
Immunoregulatory lipoproteins
Inclusion body myositis
Interstitial cystitis
Juvenile arthritis
Juvenile diabetes (Type 1 diabetes)
Juvenile myositis
Kawasaki syndrome
Lambert-Eaton syndrome
Lichen planus
Lichen sclerosus
Lyme disease, chronic
Meniere’s disease
Mixed connective tissue disease
Multiple sclerosis
Myasthenia gravis
Optic neuritis
Peripheral neuropathy
Pernicious anemia
Polymyalgia rheumatica
Progesterone dermatitis
Primary biliary cirrhosis
Psoriatic arthritis
Idiopathic pulmonary fibrosis
Raynauds phenomenon
Reactive Arthritis
Reflex sympathetic dystrophy
Reiter’s syndrome
Relapsing polychondritis
Restless legs syndrome
Rheumatic fever
Rheumatoid arthritis
Sjogren's syndrome
Stiff person syndrome
Subacute bacterial endocarditis
Type I diabetes
Ulcerative colitis
Undifferentiated connective tissue dis.

Addison's disease
Aging (senescence)
Allergies and sensitivities
Ankylosing spondylitis
Anorexia and bulimia
Autism spectrum disorder
Baldness (alopecia)
Bipolar Disorder (manic-depression)
Cardiovascular diseases
Cat scratch fever
Celiac disease
Chronic Lyme disease
Chronic fatigue syndrome
Cognitive dysfunction (brain fog)
Diabetes, Type II
Epilepsy (seizures)
Eye diseases
Graves' disease
Hashimoto's disease
Headaches and migraines
Hypertension (high blood pressure)
Inflammatory bowel disease (Crohn's disease and ulcerative colitis)
Irritable bowel
Kidney disease
Kidney stones
Learning disabilities (ADHD, ADD, dyslexia)
Mental and neurological conditions
Multiple chemical sensitivity
Multiple sclerosis
Obsessive-compulsive disorder
Osteoporosis and osteopenia
Parkinson's disease
Periodontal disease and gingivitis
Peripheral neuropathy
Pernicious anemia
Raynaud's syndrome
Reiter's syndrome
Restless leg syndrome
Rheumatoid arthritis
Secondary hyperparathyroidism
Systemic lupus erythematosus
Cystic fibrosis
Diabetes, Type I

Alzheimer's Disease
Parkinson’s' Disease
Ataxia, myoclonus and deafness
chronic intestinal pseudo obstruction with myopathy and ophthalmoplegia
Chronic Progressive External ophthalmoplegia
Cyclic Vomiting Syndrome
Maternally inherited deafness or Aminoglycoside-induced deafness
Dementia and chorea
Diabetes mellitus and deafness
Exercise intolerance
Epilepsy, strokes, optic atrophy and cognitive decline
Familial bilateral striatal necrosis
Fatal Infantile cardiomyopathy plus, a MELAS-associated cardiomyopathy
Gastrointestinal reflux
Kearns Sayre Syndrome
Leber's Hereditary Optic Neuropathy and Dystonia
Leber Hereditary Optic Neuropathy
Lethal Infantile Mitochondrial Myopathy
Myopathy and Diabetes Mellitus
Mitochondrial Encephalomyopathy, Lactic acidosis and stroke-like episodes
Myoclonic epilepsy and psychomotor regression
Myoclonic epilepsy and ragged red muscle fibers
Maternally inherited diabetes and deafness
Maternally Inherited hypertrophic cardiomyopathy
Maternally inherited cardiomyopathy
Maternally Inherited Leigh Syndrome
Mitochondrial encephalocardiomyopathy
Mitochondrial encephalomyopathy
Mitochondrial myopathy
Maternal myopathy and cardiomyopathy
Multisystem Mitochondrial Disorder
(myopathy, encephalopathy, blindness,
hearing loss, peripheral neuropathy)
Neurogenic muscle weakness, Ataxia, and Retinitis Pigmentosa; alternate
phenotype at this locus is reported as
Leigh Disease
Non-Insulin Dependent Diabetes Mellitus
Progressive Encephalopathy
Progressive Myoclonus Epilepsy
Rett Syndrome
Sudden Infant Death Syndrome
Sensorineural hearing loss

Cancers (some)
Exercise intolerance
Gastrointestinal problems (reflux, vomiting, constipation, diarrhea)
Swallowing difficulties
Failure to thrive
Heart and kidney problems
Muscle failure
Heat/cold intolerance
Lactic acidosis
Immune system problems
Liver disease

I hope this is helpful to some of you....
The chart and more information is in the "The Periodic Paralysis Guide And Workbook"

Thursday, December 3, 2015

450 Members!!!!

Congratulations to us at the Periodic Paralysis Network Support, Education and Advocacy Group...We now have over 450 members!!!!
The following are the services and features of our PPN forum:
PPN Support, Education and Advocacy Group:

PPN Website:
PPN Books: "Living With Periodic Paralysis: The Mystery Unraveled" and "The Periodic Paralysis Guide And Workbook: Be The Best You Can Be Naturally" and "A Bill Of Rights For Periodic Paralysis Patients" the first in our ***A.S.E.A.Series!!!
( Found on our website ) (also on CreateSpace and
PPN Blog:
PPN Book Discussion Group:
The PPN Learning Center and Workshop:
PPN Genealogy-Genetic Discussion Group:
PPN Website Facebook Page:
PPN Author's Page:
Please check out our PPN Members World Map:
Video about Periodic Paralysis:
Thank you all for your support........

Thursday, November 12, 2015

Happy Second Anniversary For Our PPN Blog!!

Hello All,

Today is the second year anniversary of the day I created our Periodic Paralysis Network Blog and posted our first Blog Article!!!!

We now have over 118 Blog Articles about Periodic Paralysis and as of today, we have had 37,000 page views!!!!! This is exciting news!! It is wonderful to know that more and more people are learning about Periodic Paralysis.

Thank you all for your support!!

Tuesday, October 20, 2015

Permanent Muscle Weakness (Revised)

Hello All,

I have combined two previous blog articles into one with some revisions and updating. The subject of Permanent Muscle Weakness came up again…so I thought I should repost. It is a serious subject for most of us. It took several days of research to put this all together originally. I hope it will be informative and helpful to you.

Permanent Muscle Weakness in Periodic Paralysis

Many members of our Periodic Paralysis Network Support and Education Group discuss muscle weakness. It is very common to wake up in the morning unable to move, get out of bed or walk. As time passes, individuals are able to finally to move, drag themselves out of bed and walk with assistance, though they are very weak. As the day progresses, they either get a little better or remain in the weakened state. What most of them do not know or understand is, that they are in paralysis much of the night, most every night. Damage to the muscles is the result of this, thus creating gradual muscle weakness and over time Permanent Muscle Weakness (PMW) results.

I did some research on PMW related to Periodic Paralysis (PP) and discovered some interesting information. The damage done to the muscles is written about much less often than the episodes of partial or full paralysis in articles or studies about Periodic Paralysis. The information available, however, indicates that PMW is seen in all forms of PP, Hypokalemic Periodic Paralysis, Hyperkalemic Periodic Paralysis or Andersen-Tawil Syndrome. Progressive muscle damage is also seen in all forms and it is irreparable. It cannot be reversed

Acetazolamide is a drug that must be used with extreme caution. It can cause kidney stones, metabolic acidosis, low potassium levels, affects growth in children and has caused death.  The most important issue is that it can actually cause paralysis thus creating more permanent muscle weakness!

In another study it was concluded that Hypokalemic Periodic Paralysis is a myopathy (muscle disease, however, it is actually a mineral metabolic disorder, which affects the muscles) with permanent muscle weakness of late onset in all the patients. This study though older and only a few participants were used, indicated that most everyone with any form of Periodic Paralysis would develop permanent muscle weakness as they age.

In the last study, there is correlation between PMW and abnormal muscle biopsies. This means that a muscle biopsy, completed for people with PP, may show abnormalities and damage in the muscle fibers namely changes in size and shape, vacuoles, splitting of the fibers, tubular aggreagates, increased glycogen (fat).

This overlooked subject is extremely important and needs to be addressed. Each paralytic episode causes more muscle damage so it is necessary to do everything possible to stop the episodes.

We know that avoiding the things that cause the episodes is the most important issue. So it is important to know what a person’s triggers are and avoid them. Other treatment may include following a pH balanced diet, using supplements, avoiding exerting oneself and more. Some individuals may use drugs, but they must be used with caution and as discussed earlier.

So the conclusions seem to be that all individuals with Periodic Paralysis will have some form of Permanent Muscle Weakness. We can also conclude that acetazolamide (diamox) seems to make it worse...thus this could be a problem for younger people with PP who take acetazolamide and begin to develop PMW (as well as kidney stones and metabolic acidosis and growth issues with children).

There is a correlation between your PMW and abnormalities in your muscle (muscle fibers). In other words, it is likely that if you had a biopsy, abnormalities will show up, if you have Permanent Muscle Weakness.

Yesterday’s blog brought a few questions:

The first one is about Physical Therapy (PT). Some one asked, “Can PT help the permanent muscle weakness (PMW)?”  My first response was, ”No, PT typically makes it worse.”

The teacher in me made me realize that answer was not sufficient or totally correct. So, I searched through my data collection looking for an article I had saved about that topic.
I wrote another post:

I should have said that for ‘most’ of us PT may not be a good idea. I know there are other members in our support group who do work out; weight-lift or exercise and I did during my earlier years. However, I have had to stop PT every time it was prescribed for me. The pain was excruciating and it caused more episodes and more weakness. There may, however, be things like warm water exercises, or massage and more that may be helpful. Each person is different and all you can do is talk to your knowledgeable medical professionals and try what you think may be helpful and work for you.

The following are a few articles, which may be helpful in making your own decision:

The first one is written by a physical therapist:

"In some neuromuscular diseases, such as the metabolic muscle disorders, strength building exercises such as weight training may lead to muscle deterioration. Muscle deterioration can also lead to kidney damage. Individuals with periodic paralysis may experience increased attacks of paralysis."

This one is about Periodic Paralysis in particular, which is a mineral metabolic disorder. It is an important message about deterioration of muscle from weight training:

"In some neuromuscular diseases, such as the metabolic muscle disorders, strength building exercises such as weight training may lead to muscle deterioration. Muscle deterioration can also lead to kidney damage. Individuals with periodic paralysis may experience increased attacks of paralysis.

Individuals with any type of muscle disorder should avoid exercising to exhaustion. They should stop exercising right away and consult their physician if they experience muscle cramping or paralysis, or cola-colored urine."

The last article deals with potassium and exertion/exercise:

"Increased Need For Potassium”

Heavy labor, weightlifting, extended labor, excessive sweating, alcohol, with caffeine (diuretic) (e.g. coffee, tea, some sodas) increase the need for potassium. A drop in blood sugar strains adrenal glands and also causes potassium loss.

Many weight lifters buy protein powder to make protein shakes. All that protein is hard on the liver and kidneys. Your body can’t build an ounce of muscle without enough potassium."

The second issue from yesterday’s blog about permanent muscle weakness is that I failed to mention that there is typically three forms in which Periodic Paralysis may manifest related to permanent muscle weakness. That is:

Clinical Diagnosis

“The two distinct forms of muscle involvement observed in hypokalemic periodic paralysis (HOKPP), paralytic episodes and fixed myopathy, may occur separately or together. The pure paralytic episodic form occurs most commonly; the combination of paralytic episodes and a slowly progressive myopathy is less common; the pure myopathic form without paralytic episodes is rare:
  • Paralytic episodes. The primary symptom consists of attacks of reversible flaccid paralysis with a concomitant hypokalemia that usually leads to paraparesis or tetraparesis but spares the respiratory muscles.
  • Myopathic form. The myopathic form results in slowly progressive, fixed muscle weakness that begins as exercise intolerance predominantly of the lower limbs; it usually does not lead to severe disability. This fixed weakness must be distinguished from the reversible weakness that exists between attacks in some affected individuals.”

”The myopathic form develops in approximately 25% of affected individuals and results in a progressive fixed muscle weakness that begins at variable ages as exercise intolerance predominantly in the lower limbs. It occurs independent of paralytic symptoms and may be the sole manifestation of HOKPP.”
The above article does not mention the third type which is combination of the two; episodes of intermittent muscle weakness or partial or full body paralysis and gradual permanent muscle weakness.

My suspicion is that paralysis may be going on in sleep unaware to the person in the myopathic form.

Until later…