smwelder, it was also my second visit to the ALS clinic. The most positive thing for me was my FVC was 74%, while it was 59% in December. Not sure how accurate the first test was, but as we know you have to be up there for any of the clinical trials. When the PT conducted the push/pull tests on arms and legs, she said minimal change in strength since December. I had also lost 6lbs, but that was with the doctor and dieticians blessing since am probably 30 lbs overweight. I'll take that kind of visit every time.