Ask a Neurologist. Get Answers to Your Neurology Questions.
At your age you really should not worry about ALS at all, especially with a normal EMG. Fasciculations and asymmetric reflexes are very common in the general population and must be interpreted in the context of the entire clinical picture. Fascics are typically associated with fatigue, stress, poor sleep, too much caffeine, etc. They are almost always benign and improve with stress reduction and good sleep.
Hello Welcome to JA. I will review your statement and reply shortly. Please review this preliminary answer and respond, we can discuss this until you are satisfied. Dr Frank
Let me know if you have any follow up questions.