Can a high acetylcholinesterase level cause fasciculations, cramps, excess sweating, and watery eyes?

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Mild to a moderately high level of acetylcholinesterase can be found in many conditions such as thyrotoxicosis, schizophrenia, hypertension, acute emotional disorders after a concussion injury. Markedly elevated levels can be found in nephrotic syndrome and through genetic. Similarly, fasciculations can be found in many conditions such as anxiety state, thyrotoxicosis, benign fasciculation syndrome, cramp fasciculation syndrome, motor neuron disease, and nerve injury and denervation. Your cholinesterase level just marginally high (very near to normal upper range). There may be some association between fasciculation or cramps and high acetylcholinesterase level, but it should not cause atrophy and weakness of one leg. It seems unlikely that this level is causing all such symptoms. I would like to know the history of the detailed symptoms about you in a sequential manner and also would like to see your other reports or neurologist assessment sheet for better understanding and further judgment.

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All your symptoms are not fully explainable by this level of cholinesterase. Though you have not told your symptoms and findings in detail, you only mentioned fasciculation and progressive weakness and atrophy of the left leg. Possibly you need to consult a neurologist physically for detailed evaluation and assessment about your symptoms and may need further evaluation to make a diagnosis.