Hi, @beth11 - like @hopeful33250, I really appreciate the update, especially about how the iron infusion has gone.

The times where I've had insomnia like you mentioned have been rough, and it's hard to feel good the next day.

I know that @aarniek has talked about spasticity, and may have some thoughts for you on management in terms of mobility and daily living. @jenniferhunter @jakedduck1 @beverlymarks @tdonoho also may have some thoughts.

Have you found anything that makes the constant muscle contracture in your feet and full body muscle spasms any better or worse? For example, are your symptoms better when you get better sleep or worse when you eat certain foods?