The Real Causes of Restless Legs Syndrome – and How to Treat it Naturally

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  • Restless legs syndrome (or RLS) is marked by the overwhelming urge to move your legs, especially when sitting or lying down.
  • Over 90 percent of people with RLS say it affects their sleep.
  • It’s not entirely clear what causes RLS, but genes do play a role. Iron deficiency in the brain, lack of sleep, and dopamine shortage may also be to blame.
  • Doctors often prescribe drugs like alpha-2-delta ligands and benzodiazepines, but they can have unpleasant side effects like dizziness and drowsiness.
  • Restless leg natural remedies include supplements to increase dopamine, boosting iron stores, doing yoga, and healing your gut.


You may know the feeling. You’re relaxing on the couch, watching some Netflix, and suddenly you get the overwhelming urge to move your legs. You may even feel some pain or a prickling sensation. Moving your legs around helps some, but once you stop, the urge starts up again. Or perhaps you experience it while you’re lying in bed, making it difficult to sleep. The phenomenon is known as restless legs syndrome (RLS), and it affects one in ten Americans, making it one the most common sleep disorders.[ref url=””]

Doctors often prescribe drugs like alpha-2-delta ligands and benzodiazepines[ref url=”″] to treat RLS, but they can carry unpleasant side effects like dizziness and drowsiness.

With certain behavior changes and supplements, you can go a long way to easing your symptoms. Read on for the best restless legs syndrome natural remedies.

Download the Bulletproof Sleep Roadmap to zero in on why you’re not sleeping, and to get personalized solutions that actually work 

What is restless legs syndrome?

Restless legs syndrome, or RLS, is considered a sleep disorder.[ref url=”″] According to the National Sleep Foundation, 94 percent of people say RLS messes with their sleep. Scientists also label it a neurological sensory disorder, since the cause of RLS is likely rooted in the brain (more on that below). 

Restless legs syndrome symptoms

A doctor can’t do a test to find out if you have restless legs syndrome. Instead, he or she will question you about your symptoms. People with the condition typically describe the following:

  • The irresistible urge to move their legs
  • Pain, achiness, tingling, itchiness or a pins-and-needles sensation in the legs
  • Symptoms tend to get worse in the late afternoon and evening
  • Moving the legs relieves some symptoms, but once they stop moving, the sensations return

Restless legs syndrome causes

It’s not entirely clear what causes restless legs syndrome. There’s growing evidence that genes play a role, especially when the condition starts at a young age.[ref url=””] In a study of identical and non-identical twins, genetics were a factor in 54 percent of the cases.[ref url=”″] Scientists also point to low iron levels in the brain as another major cause[ref url=”″][ref url=”″].

Other possible causes include:

  • Dopamine shortage in the brain[ref url=”″]
  • Lack of sleep
  • Dysfunction in the basal ganglia (a part of the brain connected to movement)
  • Lactic acid build up in the muscles
  • Electrolyte imbalance, particularly a potassium or magnesium deficiency

Restless legs syndrome natural remedies

Increase your dopamine levels

One of the most commonly prescribed drugs for RLS are dopamine-related medications, like pramipexole and ropinirole, that increase levels of dopamine — a neurotransmitter — in the brain.[ref url=”″] But the side effects of these types of medications aren’t pretty, and may include vomiting, nausea, and hallucinations. The good news is, you can increase your dopamine levels naturally, with the help of certain supplements and foods. Get a daily dose of L-tyrosine, an amino acid that helps your body make dopamine. Supplement with 500-2000 mg a day, or eat foods rich in tyrosine such as avocados, pastured eggs, and grass-fed beef. You can also boost your dopamine with mucuna pruriens, an herbal supplement that contains large amounts of L-dopa, a precursor to dopamine.

Boost iron levels

One of the most well-studied causes of RLS is low iron. Even people with RLS who don’t have anemia and have iron stores in the normal range can benefit from iron supplements. That’s because it’s possible for your brain to be deficient in iron, even when your blood tests show iron levels as normal. RLS patients have shown decreased iron in the substantia nigra, a part of the brain where cells that make dopamine live.[ref url=”″]

Two studies gave patients 325 mg of ferrous sulfate (a type of iron supplement), twice a day on an empty stomach[ref url=”″][ref url=”″]. One found that iron supplements made little difference to RLS symptoms, while the other found that they did. Ferrous sulfate can cause stomach upsets[ref url=””], so choose carbonyl iron, which is less likely to cause gut issues.[ref url=”″]

If iron pills don’t work, numerous studies also show that giving patients iron intravenously helped improve RLS symptoms in both the short- and the long-term.[ref url=”″]

You can also load up on iron-rich foods, like grass-fed beef, wild-caught fish, leafy greens, and beef liver. Animal-based iron is more easily absorbed than plant-based iron, from foods like beans and lentils. Vitamin C also boosts absorption of iron, so add vegetables like broccoli and Brussels Sprouts to your meals.

Take magnesium

Most people are deficient in magnesium, and studies link a magnesium deficiency to RLS.[ref url=”″]

“Magnesium blocks calcium and if magnesium is deficient, nerves can overreact and trigger muscle contractions,” says Patti Kim, ND, a Los Angeles-based naturopath and acupuncturist. She recommends magnesium glycinate or magnesium malate for her patients. Learn how to choose the best magnesium supplement for your body here.

“Also epsom salt baths help your body absorb magnesium, as well as detox, relax muscles, and calm the nervous system,” she adds.

Increase potassium

Potassium works synergistically with magnesium. Look for powdered potassium citrate or bicarbonate. Start with 100-200 milligrams at bedtime, and work your way up to 400 mg. Be careful not to mega-dose — too much potassium can cause dangerous heart rhythm problems. You can also eat potassium-rich foods, including wild-caught salmon, spinach, leafy beet tops, and avocado.

Do yoga

Research shows that yoga can ease symptoms of RLS. In one study, women with moderate to severe RLS saw a significant reduction in symptoms after 8 weeks of Iyengar yoga, a gentle form of the exercise.[ref url=”″] Participants also slept better, their mood improved, and their levels of perceived stress were lower. Bear in mind this was a small pilot study, and more rigorous research is needed. But yoga’s calming effects are well-documented,[ref url=”″] so it’s not a bad idea to start practicing. Get started with this yoga nidra routine that will make you feel like you got a full night’s sleep.

Fix your gut

Restless legs syndrome can also be a consequence of an iffy gut. Studies show a connection between RLS and gut disorders like irritable bowel disease (IBD) and small intestinal bacterial overgrowth (SIBO).[ref url=”″] These conditions cause inflammation, which may lead to iron deficiency, and then RLS. They can also trigger autoimmune changes, which causes antibodies to attack peripheral nerves — the nerves that connect the brain and spinal cord. Focus on healing your gut with a high fat, low carb diet, and consider supplementing with probiotics.

Learn more about all the ways to fix your gut here.

Improve your sleep

The urge to move your legs can get in the way of your sleep, and a lack of sleep can make RLS symptoms worse. It’s a vicious cycle, so it helps to take a multi-pronged approach. Treat the RLS, and also work on improving your sleep. Start by creating the ideal sleep environment — make sure your bedroom is pitch black and the room cool. Shut down electronics two hours before bed, and fill up on the right fats at dinner. Get more sleep hacks here, or try the Bulletproof 30-Day Sleep Challenge to get started.

Take methyl B12 and methyl folate

Some studies suggest a vitamin B12 and folate deficiency may cause RLS.[ref url=”″][ref url=”″] Both folate — an essential B vitamin — and B12 are required for proper brain function, and a deficiency in one usually means a deficiency in the other. Take 5 mg of methylcobalamim (a form of B12) or hydroxocobalamim, and 800 mcg of methyl folate (not folic acid, a synthetic form of folate found in multivitamins).






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