Low grade and continual paresthesias - L sole, L middle fingers, Right smallest fingertips. No signs on waking. Seemed to be onsetting at about the same time every night. Possibly onsetting later and later as the weeks roll on.

Arms are coming back to old form. Upper legs and especially left calf show some muscle loss. Upper legs- muscle loss above outside knee joint. Calves and anterior tibialis both legs show signs of atrophy. Expect they will suddenly re-appear just as my arms re-appeared. No strength loss. Have commenced intensive exercise for legs to promote (re)growth by stimulating hypertrophy pathways.

Maintaining vitamin regimen with addition of 1000IU Vitamin E daily in two doses.

Most aggravating and troubling part of this - persistence of paresthesias, even though not as intense as April 3. And noticeable loss of muscle. Tone is okay, now. Some flaccidity before. Better tone now. Muscle loss seems to happen very quickly, and comes back very quickly - I noticed this pattern a while ago during main part of the fight with myopathy.

Some abnormal sense of pounding in extremities - toes, esp fingers, when vigorously used - including trying to play guitar earlier.

Twitches in right upper pec and right tricep.

(Acute myopathy -dx approx Feb 2014. Chronic myopathy from August 2014 - very approximately).