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The development of effective treatments for patients with amyotrophic lateral sclerosis (ALS) has proven to be immensely challenging. Among the many challenges to therapeutic development is the variability in the natural history of the disease, along with a paucity of biological markers that might forecast future prognosis. Factors previously shown to predict a poor outcome include a short latency from symptom onset to diagnosis, older age, female gender, bulbar (vs. limb) onset, and the presence of respiratory muscle weakness. Scientists have now investigated the utility of an array of routine hematological and biochemical factors at the time of ALS diagnosis in predicting 1-year survival in a population-based cohort of 639 patients and a …