Interesting... no coffee today and I can't induce the twitching anymore. Petrifiedguy, I don't have any anxiety about ALS anymore. Today marks 10 months since I first noticed my calf muscles twithing away. Things quickly got much worse for me and in the past few months, some symptoms have disappeared. I no longer struggle to sleep, I don't get involuntary jaw jerking anymore, some of my hotspots have calmed. My twitching, however, seems to have progressed over time but its just twitching, its harmless. It took a while for me to finally get what the vets had been telling me all along. ALS is very obvious when you walk into a neuro's office. So if a neurologist gives you the "all clear", and better yet, if you've been sent for an emg and that was also clean, then your twitches are not from a neuromuscular disease. So I know what you're going to ask next, "Well, what if this is the start of something nasty?". Well, I think the answer to that question is right here in this forum. Look at all the people on here over the years who have complained about nonstop twitching, cramping, feeling a lump in their throat, people worried about dents but yet they can still function normally, people thinking they had their emg too early... aaaaalll the BFSers who been told by their neuros that this is benign. Sift through them all and tell me how many of them came back to say that their BFS turned into something else. I've searched for them, and I have not been able to find any. Personally, that answers it for me.One last question that seems to come up... "Well, what about that Walton Study that talks about those rare cases where someone was diagnosed with BFS and later had MND?". For the record, I hate that study. This has been discussed at nauseum, but here's my take on that. I'm a numbers guy. No one knows how common BFS is. Mayo says they see "lots" of people who twitch like me. Some neuros say they see BFS a few times a month or once week. However common or uncommon it is, there is absolutely no medical evidence to suggest that BFS can turn into something else. This board is proof of that. So assuming the two conditions are completely separate from each other (which is a good assumption), there STILL should be a very small number of people who have BFS and later get diagnosed with ALS. Just like there will be people who have IBS and later get diagnosed with ALS, or migraines. In the last 30 years of medicine, I believe there are fewer than 20 written cases of this. Does it surprise me that they found 20 people all over the world? Not at all. Statistically, they probably should have found more. But it certainly doesn't prove that having BFS puts you at any greater chance of develping ALS than the average Joe. Just my opinion.-Matt