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Hello, I am 48 and have been going thru a very similar experience with similar symptoms. Have you found any answers? After 14 months, I have not.

Regarding referrals, it depends on your insurance -- and sometimes the specialist has their own policies. I went straight to a neuro when I started having issues b/c my plan does not require referrals.

Sorry GregK. I know it's just the next appt. I used to get excited that something would be unearthed at the next appt and the next and the next. But now I extrapolate beyond that b/c nothing comes from them. I'm guessing there will be more EMGs scheduled for different areas of my body -- but...

I think high ALT is indicative of liver damage. But there's many common medications that can elevate that number. I had moderately high ALT (76) but the med (Tegretol) seems to be the culprit.

Nikki J, Thanks for replying so soon. The neuro I was seeing happens to specialize in MS (just a coincidence, I didn't go to him for that reason). I just started seeing another neuro -- who only does MS -- for a 2nd opinion. He reviewed my records and ordered more blood work. I don't know...

Hello, I have read the sticky and I won't waste anyone's time Here it is. 47 yr old male First symptoms started mid July 2014: Extreme fatigue over a weekend, could not stay awake, weakness, pain, cramping in right leg, tried to be normal -- which for me involves a lot walking. Started to...