42 year old female. 1 year and 1/2 ago I started with left side facial droop that was originally thought to be bells palsy. Well it never went away and I constantly have lip tingling and tremors which an EMG confirmed was facial nerve degeneration. I now have twitching throughout my whole body which started 6 months ago. I now have a lump feeling in my throat with excess saliva. I am still active at the gym, no weakness, currently a clean neuro exam, clean mri and CT scan. I have no muscle atrophy either. Spinal tap scheduled for next month. I feel as though my symptoms are progressing, but no weakness and atrophy still. Neuro isn't saying much, just worried its going to be ALS