Hello. It’s been almost 1.5 years since my last comment. (2.5 since my body decided to be a twitching machine) Twitching never went away but I learned to deal with it. The cramping is random and I can go months without so when it pops back up, so does my anxiety. My hands have gotten worse (hard to open jars, life frying pans even with one hand, etc), there’s pain and I’m dropping things a bit more often. Having some speech and swallowing troubles too. Have made another appointment to get checked out as I imagine each set of symptoms can have a plausible unique cause (arthritis, I have GERD flaring, and my Dr says fibromyalgia but I’m not sure I believe it). My ALS anxiety was pretty well controlled for the last year and now it’s back. Anyone else have a multiyear twitching and weakness journey like mine?