Tongue weakness

Hi, I’m a 34yr mom of two beautiful kids. This past May I noticed speech issues, as if I couldn’t articulate the words. Over time it’s changed to more slow speech. I have had mri, emg (leg, arm and tongue) , two egd’s (dx GERD/reflux) and spinal tap all came back good. Seen speech therapist yesterday and she noticed tongue weakness and I’m breathing in the wrong areas during speech. Like I’m almost out of breath at times when speaking and i have a weak cough when asked to cough. The only other symptoms I have are cold intolerance and anxiety of course. Can anyone shed light in this in hopes of no bulbar onset/als.

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