I am like most who fear ALS. I've had the twitching throughout my body, but no weakness. I've read enough to know that the twitching itself is not a big deal without actual weakness, but one symptom is far less subjective. My tongue is noticeably larger on one side (my right). It could be easily seen as muscle atrophy on the left side. It is quite obvious. The dividing line down the middle of my tongue is not centered, being closer to the smaller side. However, I have no muscle weakness on that side of my tongue. I can tent my cheeks on either side with equal force. I have no difficulty in swallowing or talking. Other than the obvious asymmetrical appearance, I have no symptoms. So, my question is; what comes first, the atrophy followed by physical symptoms, or could my physical symptoms follow soon. Thank you.