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When a General Physician or Internal Medicine Doctor Is the Right Doctor: Occasional, brief muscle twitches with no other symptoms Twitching clearly linked to dehydration, excess caffeine, alcohol, or sleep deprivation Twitching related to a new medication (statins, diuretics, inhalers, corticosteroids, or other drugs) Twitching with fatigue, generalised weakness, or frequent muscle cramps suggesting electrolyte or vitamin deficiency Twitching with weight changes, hair loss, heat or cold intolerance, or palpitations suggesting thyroid disease Twitching associated to anxiety, panic disorder, or high stress without neurological symptoms Widespread muscle aching and spasms with no clear mechanical cause Twitching in the context of metabolic disease, diabetes, kidney disease, or liver disease Systemic Causes the General Physician Will Investigate: If the General Physician finds a neurological origin - or if blood tests and treatment of systemic causes do not resolve the twitching - they will refer you to a Neurologist for further evaluation
