Brief Answer: You need proper clinical exam & investigations. Detailed Answer: Hello XXXX Thanks for writing to HCM First it is proper to rule out all the organic possibilities. Involuntary muscle movements (Fasciculation) involving few muscles are due to variety of causes and majority them are benign and doesn't require any treatment.It will subside by its own.However pathological causes need treatment. It may be due to decreased magnesium level in the body.You can take magnesium rich food like nuts (especially almonds),banana and spinach. If there is any stress or anxiety,try to reduce it because these factors may precipitate fasciculations. If it is persistent then it should be properly evaluated by a neurologist. For other physical problems like fatigue,anorexia,you need proper clinical examination and investigations.Investigations include routine hemogram,Random blood sugar(RBS),Liver function test(LFT),Renal function test(RFT),Lipid profile,Urine RE/ME.Further investigations like Ultrasound of abdomen can be done if needed. You should increase your physical activity and go for exercise,walking. Take lot of fibres in your diet in the form of vegetables,fruits,salad and drink lot of water.It will relieve you from constipation.Laxatives can be taken if needed. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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Brief Answer: Yes,symptoms may be due to toxic environment. Detailed Answer: Hello XXXX Thanks for writing back Yes,symptoms may be due to toxic environment.Unhealthy conditions leads to stress and it can cause various symptoms. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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