Question: For a couple of years now, my hands shake when i begin to eat, sometimes drink, within the first couple bites or sips. Its more pronounced in the left hand than the right hand. It subsides as the meal progresses typically. I don't think I'm shaking prior to the meal. In the last couple of years i am also compelled to get up and eat in the middle of the night, usually high calorie foods. There is also a tremor in my neck/head when i try to hold still for a passport or drivers license photo; otherwise no tremor. I have dysautonomia and I'm accustomed to the way my body dumps adrenaline at times, but it is more random and this problem is very specific. I'm a 46 year old female, 5'3", 140 pounds and I run, do yoga and pilates regularly and have for years, although over the last year my strength and endurance has dropped drastically. I sometimes shake with yoga poses (usually do) and where as I was running 9 km 4-5 times a week, i can now only do 4-6 km and I'm walking a good bit of that due to fatigue. Wondering if I should see a neurologist, endocrinologist or just attribute it all to the dysautonomia? Thanks very much.