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thanks HelenL mam for your comment. i couldn't figure out loss of muscle in other part of body except hand & shoulder but i can't walk. it means muscle of my leg is also weakening. is it ALS or PLS ? both legs & hands gradually became weak approximately at same rate but no atrophy on legs.
 
Can't hurt to be retested since its been almost ten years. Some with ALS progress very slowly. If its ALS, sounds like you're the lucky slow progressing.

Having gained 10kg in ten years, unfortunately, doesn't mean it's not ALS. Nor does a lack of internal issues, as ALS affects nerves and the muscles they control.

It's possible your swallowing issues 10 years ago were something else. With your fathers issues, though, I'd be rechecked.
 
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