Myasthenia and myalgia are typical symptoms of IMNM patients and are accompanied by increased muscle enzymes, including AST, ALT, CK, LDH, HBDH, MYO, CKMB, and cTnT (Allenbach et al., 2020; Merlonghi et al., 2022). This evidence concerns the gene GPT and Fatigable weakness.