TREMORS AND INTERNAL VIBRATIONS - POSSIBLE SOLUTIONS
Updated: 4 days ago
I had tremors from the very beginning of my journey with Lyme. At first I noticed them in my hands, one hand in particular. At times they spread to my entire body. As I treated, they went away. Many of us also feel internal vibrations, so I included both in this post.
Tremors are shaking that other people can see. Internal vibrations, also called internal tremor, are a buzzing or shaking feeling inside your body that usually can't be seen from the outside.
Short on time or energy? A quick-view graphic with the key points is at the bottom of this post.
Want to learn why tremors, internal vibrations and brain zaps happen? Read the education post:
INTERNAL VIBRATIONS, TREMORS, BRAIN ZAPS, ELECTRIC SHOCK SENSATIONS AND CRANIAL NEUROPATHY
Product suggestions are in each linked post. Sign up here first for the Fullscript discount (25% off):
WHERE I START
MAGNESIUM
The first thing I grab when tremors come back. A 2023 review linked low magnesium to tremors. Magnesium comes in many forms. Pick the one you tolerate best or the one your doctor recommends. My favorites are magnesium malate and magnesium L-threonate.
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MEDITERRANEAN DIET
The way of eating my Lyme doctor suggests for me now. An older study (2007) linked it to lower odds of essential tremor.
LYME DOCTOR TREMOR SUPPORTS
A Lyme-literate doctor suggests three supplements for tremors in Lyme: lithium orotate, ALA and curcumin. He adds that liposomal glutathione raises glutathione better than ALA does.
ALA (ALPHA LIPOIC ACID)
I stay on ALA as part of my protocol.
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LITHIUM OROTATE
A low-dose, non-prescription form. Prescription lithium is a much bigger dose, and shaking is one of its possible side effects.
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CURCUMIN
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GLUTATHIONE
In my protocol since day one.
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MORE SUPPLEMENTS FROM OUR MEMBERS' LIST
B VITAMINS (B12, B6 AND B1)
Low B12 over a long time can damage nerves, so ask your doctor to check your level.
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CBD
Small studies in essential tremor have not shown less shaking so far (see below).
CALMING HERBS AND SUPPLEMENTS
Stress, anxiety and tiredness can make tremors worse, so calming the body may help. Calming ideas from our members' list: chamomile, passionflower, valerian and GABA.
DAILY HABITS
LIMIT CAFFEINE
Too much caffeine can cause or worsen tremors.
AVOID ALCOHOL
Drinking and alcohol withdrawal can both cause tremors.
GET PLENTY OF REST
Tiredness can make tremors worse.
STAY HYDRATED
Many people with POTS have shaking, and extra fluids and salt are common POTS treatments.
YOGA, MEDITATION, BREATHING AND MASSAGE
Relaxing can help tremors that stress makes worse.
WEIGHTED GLOVE
On our members' list. A heavier bracelet or watch may also lessen hand tremors.
OTHER OPTIONS LYME-LITERATE DOCTORS AND RESEARCH POINT TO
TREAT THE INFECTIONS
ILADEF lists muscle twitching among Bartonella's nerve symptoms, and LymeDisease.org lists tremors. In a 2026 case report, a woman with tremors from late neurological Lyme improved with treatment.
CALM THE MAST CELLS
A 2025 study by Dr. Leonard Weinstock, Dr. Lawrence Afrin, Dr. Tania Dempsey and others found tremors at rest were far more common in people with MCAS (19% of women with MCAS vs. 2% without).
ASK YOUR DOCTOR TO CHECK
- Magnesium and B12 levels
- Thyroid, since an overactive thyroid can cause shaky hands
- Blood sugar, since low blood sugar can make you shaky
- Heavy metals, since mercury can cause tremors
- Your medicines, since some can cause tremors
BEFORE YOU START
- Read the warning on each bottle.
- Never stop or change a medicine on your own.
- Use lithium orotate only with your doctor's guidance.
- Valerian, passionflower and chamomile may add to the effects of sedative medicines, and valerian shouldn't be mixed with alcohol.
- See your doctor if a tremor is new, severe, or comes with headache, weakness or other movements you can't control.
MY EXPERIENCE
If tremors come back, magnesium is the first thing I grab, and it often works.
MORE RESEARCH WITH MIXED RESULTS
- Magnesium L-threonate: two small studies paid for by companies that make or sell it (2024 and 2026) found better scores on some sleep measures, and the 2024 study also found better mood. Neither study looked at tremors.
- CBD: in a 2021 study, a single dose of CBD did not lessen hand tremors in 19 people with essential tremor. A small 2025 pilot study of a THC and CBD capsule also found no benefit. Neither study was in Lyme.
- Fluids: in a 2024 case report of one person with Long COVID, POTS and small fiber neuropathy, drinking more fluids and adding salt didn't ease internal vibrations, but IV saline (fluids through a vein) helped a lot. This was one person, not Lyme.
RELATED POSTS
NEUROPATHY - POSSIBLE SOLUTIONS
LYME MUSCLE CRAMPS AND SPASMS
VAGUS NERVE
SOURCES
Blitshteyn and others, Internal tremor (2024)
ILADEF, Other tick-borne diseases (2024)
LymeDisease.org, Bartonella (2022)
Dr. Marty Ross, Tremor support (2026)
Dr. Leonard Weinstock and others, MCAS and nerve symptoms (2025)
Delaney and others, Late Lyme with tremor (2026)
Ray and Park, Low magnesium and tremor (2023)
Columbia University, Mediterranean diet and tremor (2007, older source, still worth reading)
Santos de Alencar and others, CBD for tremor (2021, older source, still worth reading)
Longardner and others, THC and CBD for tremor (2025)
Hausenblas and others, Magnesium L-threonate and sleep (2024)
Lopresti and others, Magnesium L-threonate and sleep (2026)
MedlinePlus, Tremor (2026)
MedlinePlus, Low blood sugar (2026)
MedlinePlus, Hyperthyroidism (2024)
NIH NCCIH, Valerian (2025)
NIH NCCIH, Chamomile (2024)
Memorial Sloan Kettering, Passionflower (2023)
MedlinePlus, Mercury poisoning (2025)
MedlinePlus, Low vitamin B12 (2026)
Dysautonomia International, POTS (no date shown)
Disclaimer: Rise Above Lyme makes no claims about any possible benefit of using any product mentioned within this site. Always consult with your doctor before adding anything. The information shared is based on personal experience, years of accumulated researched resources from Lyme Literate doctors and polls conducted within Lyme groups from actual patient experience using these solution ideas.
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