Couldnt send you a private message because your account is still new, but I wanted to let you know that I was reading your post and the whole time I was reading it, I kept thinking how your symptoms sound so much like BFS. Evan the swallowing issues are very commom with BFS, I dont know why really, but alot of us have them. And I have the same issues with my hands that you do, they feel weak, but really are not, but they are definitely clumsy fealing, have trouble with writting and grasping small objects and doing things that require precision. My twitches sound very similar to yours as well. If you want to talk, you are welcome to PM me anytime. Take Care
Robynn
Robynn