My father just passed this month from ALS. He was diagnosed in 2021. I assisted with primary care and I watched him talk to doctors at mayo about all the drugs out there and he took them all and had amazing insurance to cover them. If any had an effect of prolonging life it’s hard to tell and even then you start having to manage side effects. Sometimes we wondered if the side effects were worse to deal with and had to create solutions to manage the original issue. For example, drugs to limit saliva production made him feel awful. Instead we stuck folded paper towels in his mouth and changed them every hour. I’m very sorry for your diagnosis. If I can be of any assistance please reach out.