Andrea is a 45-year-old patient presents to physical therapy with complaints of fluctuating muscle weakness, notably worsening toward the evening. The patient reports difficulty maintaining upward gaze and a history of transient diplopia. No sensory deficits were reported. Which of the following conditions is MOST likely?

A) Multiple Sclerosis (MS)
B) Amyotrophic Lateral Sclerosis (ALS)
C) Guillain-Barré Syndrome (GBS)
D) Myasthenia Gravis (MG)
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