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Joao, You are so right. Each case is so different. Thanks for answering my question. Jennifer Joao Paulo Carvalho wrote: > Hi Jennifer , > > The only symptom I had to start with 5 years ago was a light tremor in my > right thumb . It has advanced to hand and now a little in the rigth arm . > I did not experience the early symptoms you did mention . > As you see each case is a case ... > > Cheers , >