Conversation: The conversation between human and AI assistant.
[|Human|] I wake up every night with both arms numb all the way to my fingers, evey night. I have been experiencing cramping in both arms and legs, nightly. The cramping and spasms move around. They are not isolated to one area. One night it can be my left arm another my right leg. I also experience shotness of breath that wakes me. I was on statins and my muscle levels measured high and I was taken off immediatly. I am now in Italy w/o medical attention till Feb. I need to know if the statins are compromising my systen. Do I need to take protien. The diet here is practcally all non protien. A lot of carbs! Help , Karina
[|AI|]  Cramps can arise due to many causes such as muscle strain, sciatica, vitamin and mineral deficiency. Rest, ice compression, elevation of the limb and over the counter painkillers can be used. Vitamin D and Calcium deficiency can also cause calf pain. Serum electrolytes and Blood sugar levels should be measured. More serious causes of muscle cramps such as kidney failure, hypothyroidism, alcoholism,diabetes, severe peripheral vascular disease should also be ruled out. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor.