Mitochondrial testing and future muscle biopsy

drewidia

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Joined
Apr 25, 2025
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DX ALS-FTD
Diagnosis
03/2025
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US
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IL
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Chicago
So my results came back and there was a finding of unknown clinical significance he seems focused on - now wants a muscle biopsy too

This all has to do he said with sporadic vs genetic als - I’m cool with doing it if it helps pay it forward

The geneticist appt is going to be after the biopsy - so was wondering if anyone had heard of this type of stuff (as this is new for me)

TIA
 

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I moved this so that any cals who have insights can comment.

First this is a variant of unknown significance. That means what it says. It is a genetic variation that you have from the norm. It may or may not mean anything. They don’t have enough data to know. It is possible that this relates to your problems. It is also possible it does not. Everyone has little genetic glitches but most are benign.

It is in a place that relates to mitochondrial function. Mitochondria are implicated in ALS. Mitochondrial
Dysfunction occurs early in its course. However mitochondrial disease is also a disease on its own and someone with suspected mitochondrial myopathy would usually have a muscle biopsy to diagnose it.

Mitochondrial dysfunction is also implicated in some dementia.

This is not a finding I have run across before and I couldn’t find this particular variant when I searched so I don’t think there will be a lot of data on it
 
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