Your symptoms are complex and it is not feasible to be accurate or precise based on the description, but would urge ruling out a neuromuscular disorder. Include testing for myositis, hyperthyroidism, and even peripheral neuropathy. Hard to say if the fasciculations are due to genetic motor neuron dysfunction. See a neurologist and get appropriate studies.
Answered 1/3/2023
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It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. It would be prudent to see a doctor, preferably a neurologist. Wish you good health!
Answered 1/4/2023
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