I also suffer from severe RLS. My legs do not just become restless, they actually jerk--often hard enough to damage my knees and other muscles in the afflicted leg. Usually, after completion of a session in one leg, the other will soon follow suit. To my PCP, this indicates a problem with the manner in which my body handles the neurotransmitter, Dopamine. We've tested, very simply, this hypothesis. It holds.
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