Article 5. Loss of dexterity
Fine gestures become complicated: writing, grasping small objects or typing on a keyboard requires more effort. This sign indicates damage to the upper motor neurons.
6. Excessive
muscle fatigue Persistent and disproportionate fatigue, even after moderate exertion, can indicate neuromuscular involvement. This fatigue is not only physical but often linked to the loss of motor tone.
7. Swallowing
problems Difficulty swallowing, a feeling of choking or blocked food in the throat can occur in the early stages, especially when the muscles in the throat begin to be affected. 
These symptoms do not necessarily mean that the disease is present, but if they persist, it is essential to consult a neurologist. Early diagnosis makes it possible to adapt care and improve quality of life.
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