Fitness fanatic’s supplement overuse causes ALS-like symptoms: case

Sydney doctors say their 40-year-old patient developed extensive fasciculations over an eight-month period.

Doctors have traced a patient’s extensive muscle twitching, which mimicked amyotrophic lateral sclerosis, to vitamin B6 overload from workout supplements.

The 40-year-old male patient — described as a “physically fit gym enthusiast” — had no other medical problems or prescriptions when he was referred to a neuromuscular clinic with generalised fasciculations.

The muscle twitching had evolved over eight months, said his doctors from the University of Sydney and Sydney’s Royal Prince Alfred Hospital.

“He noticed undulating movements (myokymia) and twitching of muscles in his feet … [which] lasted for hours and continued while asleep,” the case authors wrote in the Medical Journal of Australia.