Why do I get cold feet all the time?

Chronically cold feet are usually constitutional - some bodies simply run cold at the extremities, prioritizing core warmth, and thin builds, low blood pressure, and cold offices amplify it. That kind is symmetric, lifelong-ish, and the feet look normal. The list worth ruling out: Raynaud's - where fingers or toes dramatically change color with cold or stress, white then blue then red, with numbness and tingling; the NHS describes exactly this color sequence and notes it is common and usually manageable; an underactive thyroid, slowing the whole thermostat; anemia, cutting oxygen delivery; diabetes, which can cool and numb feet through nerve and circulation changes; and anxiety, which diverts blood from the extremities. Home checks: warm the feet - if they stay cold and pale even in a warm room, or one foot is colder than the other, that is information; note color changes, numbness, and whether the coldness is new. Warm socks, regular movement, no smoking - nicotine constricts vessels - and warm-room trials answer most of it. See a provider for: new or worsening cold feet, color-changing episodes, cold feet with numbness or slow-healing cuts - the diabetes foot check matters - one foot persistently colder or with weak pulses, or coldness with fatigue and weight gain - the thyroid pattern. One cold, pale, painful foot appearing suddenly is urgent. Pymander is a free AI doctor, 24/7 by text. Describe the coldness and any color changes, and it can help you sort it.