Posting an update here as I posted a few years ago..

I'm about 3.5 years into my twitching that started 1 month after covid, my fiance who had the same covids/vax as me also began twitching just a month after that.

I am unfortunately looking like an MND case, I have reduced swallowing function seen on swallowing tests, and diagnosed with double vocal cord atrophy, as well as pinky/ring finger weakness.

I have no official ALS diagnosis still, but I suspect my next neuro visit will confirm it even though my last EMG was only indicative of peripheral nerve hyperexcitability, I don't believe anything else can explain the progressive weakness including bulbar involvement, with the twitching.