So I went and saw a neurologist.
She said all of my reflexes and strength tests were normal. She did notice a couple small twitches while she had me in her examining room. She said the way my symptoms are presenting would not be consistent with ALS or a brain tumor or Parkinsons, since my clonus and fasciculations are generalized and not localized, and I don't have any muscle weakness or wasting, nor headaches or essential tremors or other symptoms.
I explained my past with MDMA and marijuana. She said she didn't think this was a result of my marijuana use, and she didn't know enough to say if it's a result of my MDMA/Ecstasy use. She promised she would read up on Ecstasy more and it's side effects. She said it was strange this issue popped up many days after my last use and that it has persisted months after I quit MDMA, marijuana, Alcohol, and coffee. (still drinking green tea)
I did drink a few beers and smoke 1 joint last weekend for the first time in over a month, and that seemed to really aggrivate my twitching all of a sudden. I noticed when I was sitting on the couch watching TV with my friends after we smoked, my thighs were twitching like crazy. Way more than usual. Luckily I don't think anyone noticed, and I'm going to go back to keeping things clean for another month or two and see how it goes. Pretty bummed marijuana caused it to act up so noticeably. I miss pot and my mate has been growing excellent stuff recently.
So I am still having this issue unchanged, unfortunately, for 2.5 months now. It hasnt got worse and hasn't got better either. The twitching is just sort of there still.
I'm going to stop bothering with all the multivitamins and fish oil and CoQ10 and magnesium, I eat a healthy diet with plenty of fresh fruits, nuts, and vegetables and fish anyways.
I will keep going to the gym and eating better, the bonus of loosing weight and lowering my blood pressure has made me feel better. Also, I've noticed I remember many of my dreams each night now, and (sorry to get so specific ) I have morning wood each morning now, like I did when I was in college. The GF has liked that. I wonder if it was marijuana that caused me to remember less of my dreams over the years. Oh well, at least the dreams are usually pleasant. Also, in my dreams I don't twitch and I feel normal. So that's nice.
I am going for an EMG and a follow up with the neurologist in late March.
I'll come back then and report what the EMG says.
Hopefully this goes away eventually.
I have found at least 6 examples of people posting online about this issue after MDMA use, and in 2 it went away (savior999 had it go away for him, took 2 years though), in 2 it reduced greatly (NightElf has had it reduce, but she still gets it occasionally), and 2 others who said it persists years later. I found more examples than just those 6 people, but often they never come back to report if it resolved, so it's hard to say.
So I dunno what's going to happen.
Once I have the EMG, or if anything changes, I'll come back and post an update.
Thanks everybody.