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tremors during sleep

I'm a 60 year old men, in excellent health, except for experiencing tremors during sleep that wake me up and have difficulty going  back to sleep.  As I start to fall sleep again, I feel these "rumbleling" (tremors) around my upper body.  I immediately wake up again.  These tremors last for about 10-15 seconds after I wake up.  The first time I experienced this condition was exactly two years ago.  It lasted for about four days and it simply went away.  Except for minor incidents (by "minor" I mean I experience the tremors for about two nights and go away) with no major disruptions in my sleep patters.  Last week, however, I experienced another episode which does not seem to be going away.  The first two nights I simply could not go back to sleep at all.  My body wanted to go back to sleep, but, as I mentioned above, everytime I fell sleep the tremors woke me up.  I'm on my  9th day and there seems to be no sign of letting up. I went to see my doctor on the fourth day--He prescribed Zolpidem, which I have been taken since.  Interestingly enough, even under the influence of the sleeping pill, the tremor wake me up, but they are short-lived since I go back to sleep almost immediately.  My doctor said to take the medicine for about two weeks and essencially placed me on a "wait-and-see" mode.  My concern at this point is "how long can I possobly survived on this medicine.  Does any body "out there" know anything about this condition?  As you can immagine, it is extremely debilitating.  I'm, for my age, a very atheletic man who is the right things, no vices and bikes to work every day--About
twenty miles a day.  Married with two grown children.  My job is very stress-free and very enjoyable.  Any ideas?  Thank you very much.
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Avatar universal
Lots of folks have mild disc degeneration so it's hard to know whether this is really contributing to our issues.

I've been trying to get on a keto diet, but I think I'll take it a lot more seriously now.

FWIW, I read back over some of this thread and tried l-carnitine.  It gave me palpitations just like Mike reported so I had to stop it.  I don't know why some people have that reaction. Also not sure whether it did anything for the vibrations. The reason I started the l-carnitine was not for the vibrations, but for the neuropathy I seem to have developed in my arms which also mostly happens during sleep.  Alpha lipoic acid and acetyl-l-carnitine are supposedly helpful in dealing with peripheral neuropathies.  After doing some additional reading, I learned that these might actually be due to carpal tunnel syndrome.  I had been waking up with numb, tingly hands for a while now, but didn't think much of it.  I figured I just had my hands in a bad position.  But then I realized that I also had some mild pain in the underside of my wrists.  Of course, I'm a programmer so I type for a living and it wouldn't surprise me a bit if I've developed carpal tunnel.  The fun never ends...
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Avatar universal
Tried posting this before, but it didn't take...

Some of you might be interested in this woman's Web site in which she recounts her son's struggle with palatal myoclonus (among many other things). Some of us have a clicking sound in the ears which is a symptoms of palatal myoclonus. She also mentions in her e-book that her son also suffered from diaphragmatic myoclonus. I've been wondering with the sleep vibrations are actually a form of this.  Some of us (including me) have reported that the vibrations seem to emanate from the diaphragm area. Although from what I've read, most of (the very few) documented cases don't persist into sleep.

Anyway, this is her Web site if you're interested: http://www.sherrijonas.com/store/c1/Featured_Products.html
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Hey friends.  I have quit all meds and supplements for a long time now.  At first it seemed like tremors got worse, then it felt as if they were on a normal cycle that had confused me for the last couple of years.  They would get better and worse as if they were reacting to something that was changed in diet or sleep patterns.  That never changed for some time.  Now I have been carb free for the last couple months.  I have almost lost 30 pounds and the tremors have been gone for almost three weeks strait.  I cannot remember the last time it has gone on that long.  I am doing carb free to lose weight but seem to be getting better the same.  This may point to b's continual search for gut issues.  
I have been eating nothing but lean meats and vegitable carbs.  Also have been keeping well hydrated as to not get the gout issue stirred up.  

Hope everyone else is well.. I will report back later with more results.  
Interesting.  Have you cut out sugar as well? If so, I wonder if you're in ketosis.  Ketogenic diets are often used to address neuro issues. In any case, congratulations and keep it up!
Yes, interesting, and thanks!

Gluten could be a cause here (I'm assuming that was cut out).

I'd be very interested in seeing if I could replicate the experiment, so would also appreciate any further details about the diet (whether it's ketogenic, etc.)

By way of update, an MRI revealed that I have perineural cysts somewhere on my spine. These are often not symptomatic, but in a few more months I'll have a follow-up to see whether they've enlarged. Where they are most commonly located, they can compress nerves leading to digestive dysfunction, etc., so in my mind it counts among my several hypotheses.
Yes.  And on a cervical MRI I have some mild disc degeneration in a couple of places which, according to the report, were "unremarkable."  So who knows...?
I started off at first just cutting out all sugars, starches and breads. Then after a while I decided to go on a ketogenic diet. I have tried the gluten-free diet in the past with no success.

Funny I also have a perineural cyst  found on an MRI in my brainstem. They said it would be no symptoms and that it is fairly common to find one.

I also have some mild disc degeneration in a couple places in my neck. Suspecting this in the past, a doctor tried a shot of Cortizone to see if it makes any difference again with no success.
Avatar universal
Just checking in.  Not much change with me. I'm going to be scheduling an appointment with the gastro practice at Mass General in Boston to see if there's anything to my reflux theory of what's going on with me.

CBD oil doesn't seem to be doing anything for me.

Ricepeg, I'm wondering if you've started with the beta-blockers and how that's working out for you.
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Not yet, as the doc wanted to first check my breathing in case of an allergic reaction to beta blockers. Slow system here. Expensive process. I've been taking various supplements that may have helped, except that I can't be sure, so have to start over. At least I still have things to try while I wait.
Ok. I imagine you haven't started CPAP yet either?  And which supplements do you think helped? Your experience should give some of us Americans pause as the debate over single-payer healthcare becomes louder...
We have the choice between private and public healthcare. In theory, private is faster and more expensive, and though I can't afford it I chose that route out of a sense of urgency. I think that may have been a mistake, and I'm now contemplating how to move back through the public system, which is relatively cheap and in many instances free. The private system specialists are not necessarily any better than the public, and often the same people work in both systems. Pros and cons to both.

Off and on at the moment I'm trying ashwagandha (for one thing, a natural beta blocker), glycine, taurine, theanine, mthfr, B2, 6 and 12, magnesium, astaxanthin in case of brain inflammation (people with OCD have 30% higher, so I figure it can't hurt to consider that for a tremor that seems like an anxiety response), echinacea for nasal passage in relation to apnea (it may have helped but 10,000mg led to nausea), and zinc. Plus more standard stuff like C, D, E and Omega3.

No CPAP yet. I am speculating that I have hypopnea more than apnea (pick up my actual sleep report soon), and that this has continued in daytime. I noticed my shallow breathing for the past year or so.

My general theory at the moment is that general stress, anxiety, poor diet and lifestyle eventually caught up with me, and that in conjunction with apnea the release of adrenaline, etc. malfunctions, leaving me with a PTSD-like tremor that waxes and wanes with general health and sleep quality, stress levels, emotional/psychological states, etc.
Thanks for the info. I still have a theory that much of this (aside from sleep apnea) is related to vagus nerve issues. Here's an experiment you might want to try. If you're a shower person, try taking as cold a shower as you can for as long as you can at the end of your shower. This supposedly has positive effects on the vagus nerve in addition to being a cheap form of "cold thermogenesis" which is also supposed to have positive effects on overall health.  I've been doing this for the last few days and I definitely feel better and less anxious after doing it.  It hasn't affected my sleep vibrations all that much (yet) and I don't know what effects it's having on my overall health, but some alternative health practitioners swear by this. Some people actually take ice baths.  I'm not that brave...

This has led to the latest health fad (at least in the U.S.) which is "cryo-saunas" which I was also thinking of  trying.
Avatar universal
Based on some of Mike's experimentation, I tried a new sleep supplement from bulletproof.com called Sleep Mode.  It contains l-ornithine, melatonin, and brain octane (MCT) oil. This helped me sleep a bit better and had only a minor effect on my vibrations.  I also started on a high-grade CBD oil.  I think it's too early to tell on that.
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Avatar universal
I too have horrible dry mouth...
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Avatar universal
I haven't checked in for a while because I haven't had anything new to add until recently.  My tremors have been minimal to moderate and only in the last 2-3 hours of sleep.  So basically what they have been for quite some time now.

I followed the methylation thread to every possible end and in summary methylfolate is a good thing.  Same with folinic acid however pretty much anything else that is a methyl donor doesn't agree with me.  

After several false starts looking at other things I focused again on ammonia.  Yucca has consistently been a good thing.  A while ago I added L-ornithine and that was a good thing.  Then a couple of weeks ago I added carnitine fumarate.  L-carnitine resolved my tremors but gave me wicked palpitations.  I was hoping the fumarate version would be better and it seems to be.  Resolved what little tremors were left but I did get minimal palpitations.

GI bacteria are one of the causes of ammonia (which would explain the GI connection) so I decided to try adding FOS and VSL3 (probiotic).  I tried VSL3 before with minimal results but with FOS this seems to be a very good combination for me.  My tinnitus is 1/4 of what it's been and I've had no tremors at all that I'm aware of in spite of slacking a bit on the ornithine/carnitine/yucca.  To me the decrease in tinnitus is as telling as the tremors themselves since the 2 are definitely related for me.
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Quick update - to test my theory of ammonia, FOS & VSL I didn't take anything else yesterday (yucca, etc) and this morning woke up with moderate tremors.  So FOS and VSL on their own aren't enough.  I'm taking yucca, ornithine and carnitine fumarate again today so it will be interesting to see what the next couple of mornings are like.
Quick update - to test my theory of ammonia, FOS & VSL I didn't take anything else yesterday (yucca, etc) and this morning woke up with moderate tremors.  So FOS and VSL on their own aren't enough.  I'm taking yucca, ornithine and carnitine fumarate again today so it will be interesting to see what the next couple of mornings are like.
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