I am 30 years old and 5 months ago I recieved a diagnoses (first of 3 opinions) of possible ALS due to muscle fasciculations all over and spasms primarily in left hand. My symptoms have not changed much since then. Recent EMG at Mayo clinic indicated diffuse fasciculations and diffuse mild neurogenic changes in all tested upper and lower extremity muscles but no fibrillation potentials. EMG previously performed had shown minimal chronic neurogenic changes only in the left deltoid and biceps. I have not observed any weakness or atrophy. No abnormalities in lab work or MRI. Is this ALS, BFS, or something else? Looking for some insight. Thanks