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I was officially diagnosed in the spring of 2019 with having ALS. I have since  learned what the symptoms are and I believe that this progressive disease had started in late 2017. In 2017 I was noticing a weakening of muscle strength in my upper body specifically in my arms and shoulders. I was forced to retire in late summer of 2019 ( after turning 66). My previous job which was sales required traveling and did create a moderate to sometimes high stress level.