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The label can be removed on the side, there is all important information in German

Other signs and symptoms of ALS include: Tripping and falling Difficulty walking Difficulty with normal daily activities Hand weakness or clumsiness (dropping things) Weakness in the legs, feet, or ankles Abnormal fatigue of the arms and/or legs Slurred speech Trouble swallowing Muscle cramps and twitches Uncontrollable periods of laughing, crying or yawning Cognitive and behavioral changes Shortness of breath is a common symptom of ALS due to the effect on the breathing muscles

and Bondopadhyay et al