instruction: hello doctor I am a 41 year old male who is 10 and in pretty good shape however last week while I was sitting on the couch at night I noticed muscle twitches in my quad muscles I ignored it thinking maybe I walked or exercised more than normal but since then they have not gone away and I notice them in all different parts of my body but mostly the legs calves shins quads of both legs I feel them every few minutes or so while sitting or laying down they are not painful I have not lost any strength while doing pull ups lunges or dumbbell curls I do not drink coffee nor alcohol and I do not take any medicines I took a magnesium supplement for the last few days and it did not help my symptoms I started googling stuff and became very afraid could this be caused by anxiety I did have some restless nights last week please help
output: hello such muscle twitching can happen in few medical conditions like anxiety motor neuron disease nerve injury benign fasciculation syndrome and hyperthyearoidism if you do not have any weakness or muscle thinning it may be due to anxiety I suggest to observe it get to and ash thyearoid stimulating hormone test if you are anxious you need to overcome that too if it persists then it may need some further investigations