<s>[INST] I am a 54 year old female. I have recently started having tremors in my right hand - mostly when holding something like a piece of paper. I wonder if I did some nerve damage powerlifting; It was my hand-over when I was dead-lifting in 2007 (over 400lbs). Looking at some of the symptoms of neurological disorders nothing else seems to fit? [/INST] Hello You may need to find cause of tremors [internal shakes]; you may need clinical examination and blood investigation.These symptoms can be due to intake of drugs like metaclopromide, lithium etc, so are you taking any medication?For diagnosing metabolic disorder blood investigation like thyroid profile, blood sugar level, parathyroid level,sr calcium, vit D.Alcohol withdraw may lead to tremors so do you have history of alcohol intake.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care </s>