Is recurrent muscle twitche an active sign of ALS?

Hello doctor,

I am a 25-year-old male. I have had muscle twitches all around my body but primarily in my legs for three months. I had the same twitches last year which lasted about a month. The twitches seemed to subside shortly after I had an EMG done as I was petrified and convinced that it could be ALS or MND. This time round with the twitches (which started again almost exactly a year later), I did not have another EMG as my doctor did not seem it necessary but instead referred me to a neurologist which deals with ALS patients. He did only a physical examination and test and did not have any concerns at all. He also looked at my EMG results and agreed they all read fine and showed benign muscle fasciculations. The twitches seem to have started again more frequently the past couple of days and I have scared myself by reading ALS blogs on the internet where people say that they first started with muscle twitches that progressed into ALS.

Do you think I should be worried about ALS? Do you think I have had my EMG conducted too soon to rule out ALS?

Thank you dcotor,

The twitching occurs all over the body but primarily in my legs (calves and thighs). The twitches are not painful. They are just visible and I can feel them. I have had some stiffness in my calves but nothing serious. The twitches are not affecting my wellbeing, just causing me severe mental health anxiety.