Because the disease is not very common it is often difficult to diagnose. Some people undergo surgery because doctors have told them their weakness is nerve related. Other symptoms can include difficulty talking and shortness of breath. Once diagnosed with ALS each patient varies in how their disease progresses. Some start with slurred speech therefore will lose the ability to talk first and then progressively lose the use of their other muscles. Others might have leg weakness first and lose the ability to walk before anything else. While most commonly those diagnosed are between 40 and 70 years old, people as young as in their teens have been