I don't know! ... Well, during 2016-2018, it was just dysphagia. But during 2019, dysphagia progressed and some words were difficult to say, but I don't speak in a slow way though, actually I can speak rapidly... Doctor found weakness in my tongue, and she said it had atrophy and fasciculations. But, my tongue is quiet when resting, no movement. My tongue has tremors when moving it. I don't see atrophy at all.