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Early signs of ALS: what to watch for and when to act

Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease that affects nerve cells in the brain and spinal cord, leading to loss of muscle control. Early detection is crucial for managing symptoms and improving quality of life. This article outlines the initial signs of ALS and emphasizes the importance of timely medical consultation.​
7 minutes
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April 30 2025
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Medical
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ALS
Alessia Casali

ALS, also known as Lou Gehrig's disease, is characterized by the degeneration of motor neurons, which are responsible for transmitting signals from the brain to voluntary muscles. As these neurons deteriorate, muscle control is lost, leading to weakness and atrophy.​

The disease can manifest in various forms, with symptoms differing based on the affected regions:​

  • Limb-onset ALS: Begins with muscle weakness in the arms or legs.​
  • Bulbar-onset ALS: Starts with difficulties in speech or swallowing.​
  • Respiratory-onset ALS: Initial symptoms involve breathing difficulties.​

Common early signs of ALS

Early symptoms of ALS are often subtle and can be mistaken for other conditions. Key indicators include:​

  • Muscle weakness: Particularly in the hands, arms, legs, or feet, leading to clumsiness or difficulty with tasks like buttoning a shirt or turning a key.​
  • Muscle cramps and twitches (fasciculations): Involuntary muscle movements, especially in the arms, legs, shoulders, or tongue.​
  • Slurred speech: Difficulty articulating words, which may progress over time.​
  • Difficulty swallowing (dysphagia): Challenges in swallowing food or liquids, potentially leading to weight loss.​
  • Stiffness or spasticity: Tight or rigid muscles, affecting mobility.​
  • Fatigue: Persistent tiredness not alleviated by rest.​

These symptoms may begin on one side of the body and gradually spread as the disease progresses.​

When to seek medical attention

If you experience persistent muscle weakness, speech difficulties, or other concerning symptoms, it's essential to consult a healthcare professional. Early diagnosis can lead to interventions that may slow disease progression and improve quality of life.​

Diagnostic procedures may include:​

  • Electromyography (EMG): Assesses the electrical activity of muscles.​
  • Nerve conduction studies: Measure the speed and strength of signals traveling in nerves.​
  • Magnetic Resonance Imaging (MRI): Provides detailed images of the brain and spinal cord to rule out other conditions.​
  • Blood and urine tests: Help exclude other diseases with similar symptoms.​

Considering future options: cryopreservation

Facing an ALS diagnosis can be overwhelming, especially given the current limitations in treatment options. In such scenarios, exploring future-oriented possibilities becomes essential.​

At Tomorrow.bio, we offer human cryopreservation—a process of preserving individuals at low temperatures after legal death, with the hope that future medical advancements may allow for revival and treatment. While not a cure, it represents an opportunity to bridge today's limitations and tomorrow's possibilities.​

We understand the emotional weight of a terminal diagnosis. Our team is here to provide information and support, helping you make informed decisions about your future.​

The latest insights on cryonics, delivered each monday morning.

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About Tomorrow.bio

At Tomorrow.bio, we are dedicated to advancing the science of cryopreservation with the goal of giving people a second chance at life. As Europe’s leading human cryopreservation provider, we focus on rapid, high-quality standby, stabilization, and storage of terminal patients—preserving them until future medical technologies may allow revival and treatment.​

Our mission is to make human cryopreservation a reliable and accessible option for everyone. We believe that no life should end because current medical capabilities fall short.​

Our vision is a future where death is optional—where people have the freedom to choose long-term preservation in the face of terminal illness or fatal injury, and to awaken when medicine has caught up.​

Interested in learning more or becoming a member?

📧 Contact us at: hello@tomorrow.bio

🌐 Visit our website: www.tomorrow.bio

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