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What causes hand tremors during menstrual cycle ...

What causes hand tremors during menstrual cycle.  For a while now I have had this issue along with severe headaches alternating with severe pain in  my hips and thighs and my body temp is elevated I can't seem to stay cool. One month I have the headaches the next month I have the pain. I'm 40years old and wondering what to do.  

 

 

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