"Muscle twitches" do NOT equate to ALS, and nothing you describe suggests an ominous neuromuscular disorder. Not clear if you have seen an experienced and skilled neurologist so far. If not, find one.
Answered 8/30/2023
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In addition to above answers, is one Active? Does one have programmed Exercises into one's daily routine. Sedentary/ limited physical Activity Lifestyle can affect the muscles detrimentally too.
Answered 8/31/2023
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