Hey I am 21 years old male.. I went for an exchange semester six months ago and it was my first time away from home, I started experiencing shortness of breath and then got my blood tested and an EKG and both showed normal.. after that I started feeling my pulse everywhere in my body.. then I started getting hypnic jerks and shaky feelings the first 20 seconds when I wake up from sleep.. now I have muscle twitches all over my body that come and go.. usually come when I m lying on a couch or sitting.. they are not permanent.. everyone has been telling me it s anxiety even both doctors I have visited.. I didn t visit a neurologist because it s expensive.. I am logically convinced that it s anxiety but I still can t understand how I can ever be sure it s ALS or some nerve disease.. is there anything that makes ALS twitches any different than other twitches? Thank you for your time!