I went to my neurologist last week and he is very similar to yours I think, he did a physical test and all he said "my main concern is your brisk reflexes" and then he ordered a lot of tests for me....all he said to reassure me was a) a lot of people in my age group have brisk reflexesb) that he didn't detect a cranial nerve problem (I was initially worried about bulbar ALS because I was stumbling and stuttering a few words every now and then but my speaking hasn't gotten any worse and I make few errors now, if anything it's getting better)c) he said a lot of people come to see him worried like me and often it is nothingbut he didn't say "you don't have ALS" or "it's all anxiety", I think he is very clinical and always wants to find a reason for a problemI also assume that because he said his main concern was brisk reflexes that he didn't notice any weakness, I hope so anywayhowever, after the appointment with him I started to become more anxious and then in the last few days I start thinking about my arms and legs a lot when previously I was only thinking about bulbar issues and guess what my suddenly my arms feel heavy and weak and my legs too but I think this is all "perceived" weakness, I can still do my normal about 40 press ups and I still cycle about 7/8 km to work, I am just focusing on my arms and legs more and because of this they feeel weird, stiff or weak - I hope it's not the beginning of something bad but I have to wait for test results, I am still getting mild random pains and twitches and still worrying and anxious as I await tests but all I can do is wait and hope nothing terrible happens