In 8/2020 my husband was diagnosed with ALS. Six months later In 2/2021 he passed away. About one year before his diagnosis his speech was slurred, he had great difficulty swallowing, loss of arm strength and loss of weight. I began to see mental changes in his ability to remember dates, recall events, use of words but we never associated it with ALS. I miss him every minute of every day. Thanks for listening.