### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi There I m 46 yrs. I ve have all muscle twitching all over my body been like this for 18 months now. I been to a neurologist about a year ago. No test were done, just a few physical test & some questions, was told there s nothing sinister going on. However, twitches are still here and more than a year ago. My right eye lid has been twitching now for 2 weeks, constantly. This whole muscle twitching thing is getting to me mentally

### output:

Hi, Thanks for your query.*** From the description provided it seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. Articulations have a variety of causes, the majority of which are benign. The most likely and common causes for these are1... High levels of stress, anxiety,nervousness or excitement or anger.2... Consumption of excess of alcohol or caffeine.3...low levels of calcium, potassium,magnesium etc4... Low levels of IT B125... Use of medicines like anti asthmatics, anti seizure, weight loss medicines etc6. Certain disorders like hyperthyroidism or hyperparathyroidism. I would advise you to get tested for above-mentioned causes, stop alcohol and caffeine, do regular stress buster exercises like breathing exercises and yoga and taking good nutritious diet. Taking methylcobalamin supplements and electrolyte fluids will be helpful. If some deficiency comes in your tests, then take those supplements. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care