Been experiencing muscle twitches all over for about ten years now, my question is can it be als? even after ten years?

Probably not ALS: Mary, there are multiple causes for muscle twitching. At 30 years old and a 10 year history of muscle twitching, this would unlikely be ALS. There are many benign causes for muscle twitching, Yet to be more clear about it, I would recommend a consultation with a neurologist. There are medications that can also cause muscle twitching that you may want to have looked at/reviewed with your PCP.

NOT ALS: See a neurologist, get evaluated, and find reason for your problems. You do NOT describe ALS!