The process took about 3 months. First a evaluation appointment with blood draws. Then a Nerve Conduction test appointment with another blood draw. That blood draw was sent to a special lab in Saint Louis which identified the actual antibody. My antibody attacks the insulation around my nerves. Put simply, signals from my brain short out on their way to the involved muscle. My first step was researching the symptoms of Distal Acquired Demyelinating Symmetric Neuropathy. I had 90% of them. This prompted me to find the specialist at Stanford. You should be able to find the symptoms on line by doing a search that includes the word “symptoms” Distal Acquired Demyelinating Symmetric Neuropathy.