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Anywhere from a 4 to a 7, depending on the day, and what other illnesses are flaring right then. Very hard to separate this from the arthritis, irritable bowel, etc. And yes, I am in a hot tub almost every night so i can sleep.

Sounds very familiar. I would say that if your neuro has ruled out everything else, you can just know you twitch! In my house, it has become something of a running joke, since other people can sometimes see my twitches. There are so many different things that can cuase fasciculations that...

yes, i have had them get worse with coughing, or with any other physical stressor (sneezing, coughing, shoveling, running up steps, etc. - anything out of the 'ordinary'). For the msot part, i ignore mine and go on about my business, unless it twitches so badly it cramps or makes me drop...