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laarns32 karma

This is Anthony's fiancee: Neurologist conduct very uncomfortable tests to find the manifestation of ALS in a person. The diagnosis is symptom based. Anthony found the need to see an ALS specialist when he started experiencing weakness and non-stop twitching on his upper extremities.

I would suggest if you don't have any symptoms to keep living a stress free/healthy life. According to what I have learned, people may have the genetic mutation but not get ALS. Something that is unknown triggers it.