Tingling,numbness,burning in muscles come and go. feel weak-little strength. feel tired. blurred vision at night. hard to talk sometimes. any idea? ty

Neuromuscular: 39 yo male with a systemic neuromuscular 'syndrome.' Go to an internal medicine clinic first for a good history and neuro exam as well as lab work. Need to rule out electrolyte imbalance (calcium, magnesium, etc) as well as vitamin deficiencies and low blood counts (CBC). After that, start considering true neurologic syndromes or autoimmune syndromes. You are high risk age.