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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause For Shaky Hands After Losing Weight?

trembly feeling
hi there
im a 30 yr old female. 76kgs and 5'10".
amongst other things I've been feeling very trembly lately. mostly in my hands, they don't look too bad when i hold them out but they feel shaky.
my husband an i have just finished the dukan diet an i lost 16kgs. I've had bppv lately with some of those symptoms still lingering but its not nearly as bad as it was.
I've also got some digestive issues. st the moment I've got was i can only describe as a spasm effect in my osophegus. like s pulsing in my chest that feels incredibly strong at times. my doctor is sending me for a berium swallow next week an I've had some tests already for my heart which were normal.
im mostly concerned about my shaky hands right now those. i have twitchy muscles an trembly hands and im slightly concerned.
oh and I've seen a nuero guy today and he said he can't find any cause for concern.
any help you can provide would be greatly appreciated.
many thanks.
Mon, 17 Aug 2015
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Dietitian & Nutritionist 's  Response
Hi There!
Shaky Hands
To answer your priority question, I would hypothesize that your shaky hands are a result of the Dukan diet, a low fat, high protein diet absent in required food groups and nutrients. This type of diet causes rapid weight loss, dehydration and a possible electrolyte imbalance. I feel you might be experiencing the side effects of the diet which should, if used, be used for only a short while.

Try eating one apple per day and taking a calcium/vitamin D supplement along with 400 mg/day of magnesium (not oxide, citrate or carbonate ok) if it is ok with your doctor who has your labs and I don't. Chewable calcium/D tablets are available. Use those in preferance of a huge pill due to your swallowing problem. Magnesium can be obtained in all forms but not chewable. I buy the caps that can be pulled apart and mixed with food like yogurt or stirred into a beverage.
Fluids:
Measure out exactly 8 0z of pure water and drink throughout the day a total of 8 of those 8 oz. glasses of water.If your urine is dark yellow, drink more fluid.
Dysphagia
When did your symptoms of dysphagia (difficulty swallowing) begin? What is your emotional state? Not to pry, but this can be an emotional or neurological situation just as may your shaky hands. If you have been holding things in, that causes psychological dysphagia. But, taken with your shaky hands your doctor may want to question other etiologies if my suggestions don't work in 2-4 weeks. Please assure me you will take precaution to know what to do and others around you know how to help you should you ever choke.

You have an interesting,yet troublesome set of symptoms. Please let me know how things turn out. Put my name on the free query and it should get to me. I would be interested in following your case.
Kathryn J. Shattler, MS,RDN

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What Is The Cause For Shaky Hands After Losing Weight?

Hi There! Shaky Hands To answer your priority question, I would hypothesize that your shaky hands are a result of the Dukan diet, a low fat, high protein diet absent in required food groups and nutrients. This type of diet causes rapid weight loss, dehydration and a possible electrolyte imbalance. I feel you might be experiencing the side effects of the diet which should, if used, be used for only a short while. Try eating one apple per day and taking a calcium/vitamin D supplement along with 400 mg/day of magnesium (not oxide, citrate or carbonate ok) if it is ok with your doctor who has your labs and I don t. Chewable calcium/D tablets are available. Use those in preferance of a huge pill due to your swallowing problem. Magnesium can be obtained in all forms but not chewable. I buy the caps that can be pulled apart and mixed with food like yogurt or stirred into a beverage. Fluids: Measure out exactly 8 0z of pure water and drink throughout the day a total of 8 of those 8 oz. glasses of water.If your urine is dark yellow, drink more fluid. Dysphagia When did your symptoms of dysphagia (difficulty swallowing) begin? What is your emotional state? Not to pry, but this can be an emotional or neurological situation just as may your shaky hands. If you have been holding things in, that causes psychological dysphagia. But, taken with your shaky hands your doctor may want to question other etiologies if my suggestions don t work in 2-4 weeks. Please assure me you will take precaution to know what to do and others around you know how to help you should you ever choke. You have an interesting,yet troublesome set of symptoms. Please let me know how things turn out. Put my name on the free query and it should get to me. I would be interested in following your case. Kathryn J. Shattler, MS,RDN