Our stories seem similar. Cosmetic Botox was definitely the trigger for all of my symptoms. I’ve had 3 EMGs from the first of the year and they all are normal. My symptoms of twitching, weakness and atrophy continue to progress as well as shortness of breath. Meeting with a neuromuscular specialist soon. There is an IG page NeverTox with people who have experienced Botox side effects, some later diagnosed with ALS.