Skip to content

Understanding What Deficiencies Cause Shakiness and Tremors

4 min read

According to a 2025 study published in Onlymyhealth.com, deficiencies in essential nutrients like vitamin B12, magnesium, and vitamin D were linked to hand tremors. Understanding what deficiencies cause shakiness is the first step toward identifying the root cause of these involuntary movements and seeking appropriate solutions.

Quick Summary

Tremors or shakiness can result from deficiencies in essential nutrients, such as low levels of magnesium, calcium, and vitamin B12. Other metabolic issues like low blood sugar (hypoglycemia) and electrolyte imbalances also frequently contribute to these symptoms.

Key Points

  • Magnesium Deficiency: Low magnesium levels can overstimulate nerves, resulting in muscle cramps, twitches, and tremors.

  • Hypoglycemia: A drop in blood sugar triggers an adrenaline release, which is a common cause of sudden shakiness and trembling.

  • Vitamin B12 Deficiency: A lack of B12 can damage the nervous system, leading to neurological symptoms like hand tremors and tingling.

  • Electrolyte Imbalance: Dehydration can disrupt the levels of key electrolytes like potassium and calcium, interfering with nerve signals and causing muscle weakness and spasms.

  • Calcium Deficiency: Insufficient calcium intake or absorption can lead to hypocalcemia, causing neuromuscular excitability, muscle spasms, and tremors.

  • Medical Consultation: It is essential to consult a healthcare provider for a proper diagnosis, as shakiness can indicate various conditions beyond simple nutrient deficiencies.

In This Article

The Interplay of Nutrition, Nerves, and Muscles

Shakiness, medically known as a tremor, can be an unnerving and disruptive symptom. While often associated with neurological conditions, it's also a common indicator of nutritional deficiencies that impact the nervous system's function. The communication between your nerves and muscles relies on a precise balance of vitamins, minerals, and glucose. When this balance is disrupted, the electrical signals controlling muscle movement can become irregular, leading to involuntary shaking.

Key Mineral Deficiencies That Cause Shakiness

Magnesium

Magnesium is a vital mineral that plays a crucial role in over 300 biochemical reactions in the body, including proper nerve and muscle function. A deficiency, known as hypomagnesemia, can lead to increased excitability of nerve endings, causing muscle twitches, cramps, and tremors. Low magnesium levels disrupt the electrical impulses that regulate muscle tone and contraction. Factors like alcohol consumption, processed food intake, and certain medications can deplete magnesium stores.

Symptoms of magnesium deficiency include:

  • Muscle twitches and cramps
  • Fatigue and weakness
  • Nausea and headaches
  • Irregular heartbeats

Calcium

Similar to magnesium, calcium is critical for healthy nerve signaling and muscle contraction. When blood calcium levels are too low (hypocalcemia), the nervous system becomes overstimulated, leading to neuromuscular hyperexcitability. This can manifest as muscle stiffness, spasms, and tremors. Vitamin D deficiency is often linked to hypocalcemia, as it impairs the body's ability to absorb calcium properly.

Signs of low calcium can include:

  • Muscle twitches and spasms
  • Tingling sensations in the hands and feet
  • Fatigue and mood changes

Potassium

Potassium is an electrolyte that is essential for transmitting nerve signals and regulating muscle contractions. A deficiency (hypokalemia) can disrupt these signals, leading to muscle weakness, cramps, and tremors. Heavy sweating, dehydration, and the use of diuretics are common causes of low potassium.

Electrolyte Imbalance

Dehydration is one of the most common causes of an electrolyte imbalance. When the body loses more fluid than it takes in, the concentration of electrolytes like sodium, potassium, and magnesium becomes disrupted. This directly affects nerve function and can cause muscle spasms, weakness, and tremors.

Vital Vitamin Deficiencies

Vitamin B12

Vitamin B12 is crucial for the health of the central nervous system and the production of red blood cells. A deficiency can cause nerve damage, which may result in neurological symptoms such as shakiness, tingling, and numbness. In some severe cases, it can even contribute to more complex movement disorders. At-risk groups include older adults, vegans, and those with certain gastrointestinal conditions.

Vitamin D

While known for its role in bone health, Vitamin D also plays a part in muscle and nerve function. Studies suggest a connection between low vitamin D levels and neuromuscular issues, including tremors. It is believed that vitamin D influences the development and function of brain regions that control movement.

Metabolic and Other Related Deficiencies

Hypoglycemia (Low Blood Sugar)

This is a common and often overlooked cause of shakiness. Your brain and nervous system rely on a steady supply of glucose for energy. When blood sugar levels drop, the body releases adrenaline to trigger the liver to release stored glucose. This adrenaline surge can cause shakiness, sweating, and a rapid heartbeat. People with diabetes are particularly susceptible, but it can also affect others due to factors like skipping meals.

Iron Deficiency Anemia

Severe or chronic iron deficiency can lead to anemia, which is a reduction in red blood cells. While not a direct cause of tremors, anemia reduces the oxygen-carrying capacity of the blood. This can cause fatigue, dizziness, and a rapid heart rate, symptoms that might be accompanied by or mistaken for shakiness, especially during physical exertion.

Compare Common Nutrient-Related Causes of Shakiness

Deficiency Primary Role in Body Link to Shakiness Common Dietary Sources
Magnesium Regulates nerve and muscle function Disrupts nerve signals, causing twitches and tremors Leafy greens, nuts, seeds, whole grains
Calcium Essential for nerve signaling and muscle contraction Hyperexcitability of nerves leads to spasms and tremors Dairy products, leafy greens, fortified cereals
Potassium Nerve signal transmission, muscle contraction Disrupts nerve signals and can cause muscle weakness and tremors Bananas, sweet potatoes, avocados, spinach
Vitamin B12 Nerve health and red blood cell production Can cause nerve damage leading to tremors and tingling Meat, dairy, eggs, fortified cereals
Vitamin D Calcium absorption, neuromuscular health May impair nerve and muscle function, linked to some tremor types Sunlight exposure, fatty fish, fortified dairy
Hypoglycemia Provides glucose for brain and nerve energy Adrenaline release from low blood sugar causes trembling Regular, balanced meals and snacks

When to Seek Medical Advice

While nutritional deficiencies are a treatable cause of shakiness, it is crucial to consult a healthcare provider for a proper diagnosis. A medical evaluation can help differentiate between common deficiencies and more serious underlying conditions, such as essential tremor, Parkinson's disease, or hyperthyroidism, which also cause tremors. A doctor can perform blood tests to check vitamin and mineral levels and recommend an appropriate course of action, which may include dietary changes, supplements, or further neurological evaluation. Never self-diagnose based on symptoms alone.

Conclusion

Involuntary shakiness can be a telling sign that your body is missing essential nutrients. From minerals like magnesium and calcium that directly govern nerve-muscle communication, to vital vitamins like B12 that maintain overall nerve health, deficiencies can significantly impact your motor function. Addressing these issues through a balanced diet, proper hydration, and—if necessary—supplementation under a doctor's supervision can often alleviate symptoms. However, because tremors can also point to more complex health issues, seeking professional medical advice remains the most critical step toward effective diagnosis and management.

Frequently Asked Questions

Yes, a deficiency in vitamin B12 can cause shakiness. B12 is essential for nerve function, and low levels can lead to nerve damage and neurological symptoms, including tremors and tingling sensations in the hands and feet.

Yes, magnesium deficiency (hypomagnesemia) can cause tremors. Magnesium regulates nerve and muscle function, and low levels can lead to increased nerve excitability, causing muscle twitches, cramps, and tremors.

Yes, dehydration can cause trembling or shaking. It leads to an electrolyte imbalance, which disrupts nerve signals and muscle function. This can cause muscle weakness, spasms, and involuntary tremors.

Hypoglycemia, or low blood sugar, causes a characteristic trembling or shakiness due to the release of adrenaline. It is often accompanied by other symptoms like sweating, a rapid heart rate, and dizziness.

Emerging research indicates a connection between low vitamin D levels and neuromuscular health. A deficiency can contribute to muscle weakness and may be associated with various movement disorders, including some forms of tremor.

While not a direct cause, severe iron deficiency leading to anemia can cause symptoms that might be confused with shakiness. Fatigue, dizziness, and heart palpitations are common with anemia and can be mistaken for tremors, especially during physical exertion.

You cannot reliably self-diagnose the cause of shakiness. It is essential to consult a healthcare provider, who can perform tests, including blood work and neurological exams, to determine if the cause is a nutrient deficiency, a metabolic issue, or a more serious underlying condition like essential tremor or Parkinson's disease.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8
  9. 9
  10. 10

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.