OP, I think you are confusing EPM and PSSM. Two different issues. EPM is a parasite in some regions of the world; PSSM/EPSM is a genetic quirk in how muscles can break down & use energy. Sometimes this can lead to performance issues, including the very on and off (great days and bad days) behaviour you are experiencing.
Here is an excellent video lecture by Dr. Valberg, one of the leading researchers into muscle diseases. This should help you understand:
https://youtu.be/oyQCvE9aXt4
PSSM breaks down into two types, PSSM1 and PSSM2. PSSM 1 is easy to test for, there is a DNA test available for about $40 and you can find details here: https://www.animalgenetics.us/Equineā¦sease/PSSM.asp
PSSM 2 is trickier as it requires a muscle biopsy to confirm. Many people opt not to do the biopsy, instead changing the feed of the horse to see if you can better supply energy to the muscles and prevent some of the performance issues that seem similar to what you (might) be noticing. It may not be what you are dealing with but it might help to rule it out. Maybe a change of food can help him physically lift his feet off the ground, leading to more of those good days you mentioned where he is nibble and quick?