Hi, I've been following this forum for quite some time. My symptoms started in 2009 and I was initially told that i had CFS. I didn't notice any twitching then, just heavy legs upon waking up in the morning and then fatigue that would not go away. With time my symptoms kept getting a bit worse: more fatigue, stiff/spastic muscles, cramps, tremors when flexing muscles and then twitches. It 's now been 7 years! Over that time I had some intense anxiety issues and that definitely made the twitching worse. Today, my muscles are very stiff and i have a lot of back pain. I twitch everyday and anxiety makes everything a lot worse. One thing i noticed is exercise intolerance, where I get tired fairly easily. Last week i spent 3 days standing up at a conference and was getting some pretty intense cramps at the end of the day, that made me very anxious and cause a major flare up of twitches and worrying. That being said, I can still play an hour of Volley Ball, I can go for a 30 min run, work around the house all day, do 50 push ups, etc... I do shake immensely doing any physical exercise but I am learning how to accept that. I was never diagnosed with any clinical weakness, have always been a bit of a hypochondriac and have had 3 clean EMG's, normal reflexes and seen about 4 neuros...All confirmed i am fine. I got to this forum because a neuromuscular expert told me about bfs and i decided to get more informed about it. I was also given a chronic lyme disease diagnosis and fibro. Having seen so many people post with different symptoms, including the stiffness and exercise intolerance, I found relief in knowing that others have some similarities with what i have going on and have found ways to cope with it. Am I still freaked out by ALS? Yes i am, but it is a lot more manageable than before. Some of the advice i read here is really priceless and it has helped me regain control of my anxiety and fears. Hope everyone is doing well!