123LostSoul456, this makes me freaking out again...if 0,05 % of clean emg turn out to be als then i maybe belong it this category!? even more when yesterday i started to get outer hand fascics!? 8 months into this, had two clean emg.i don't really believe that, not with generalised twitching. an emg without signs of denervation and/or reinervation is not als i have been told by my neuro from the als-clinic. sure, there are exceptions as to every thing, but 0,05 of 100 sounds more than an exception to me. maybe they misinterpreted the emg, but i am sure it was dirty...!?i am also for the truth and have asked for it several times. but sometimes it is better to hold back something. the tricky thing about your reply to the orginal poster is, that you don't give him the reassurance he was looking for, but tell him, that he might have als...that is quite nasty and doesn't serve him at all...