Tom Hanks looks gaunt in NYC after video emerged of

Tom Hanks looks gaunt in NYC after video emerged of him with his hand visibly shaking

A haggard-looking Tom Hanks was spotted strolling the streets of Manhattan on Wednesday – a day after new footage surfaced that showed him apparently struggling to control the tremors in his arm.

Hanks, 65, wore loose-fitting clothing and a baseball cap as he left his Upper East Side home.

Still, he hasn’t been able to hide his slim frame – a marked change from his latest film, in which he plays Elvis’ manager in the Baz Luhrmann biopic.

During the film’s promotional party, the Sydney-born Luhrmann arranged an Australian premiere in the Gold Coast town, 50 miles south of Brisbane, where filming was taking place.

Austin Butler, 30, who is appearing as The King, was at the June 4 event with Hanks.

“There’s no better place on earth to shoot a movie than right here on the Gold Coast,” he said, microphone in right hand and left hand in pocket.

His arm visibly trembled as he spoke.

Tom Hanks was spotted in Manhattan on Wednesday with a remarkably slim figure - a marked departure from his last role as Elvis' manager

Tom Hanks was spotted in Manhattan on Wednesday with a remarkably slim figure – a marked departure from his last role as Elvis’ manager

Hanks is seen in Manhattan on Wednesday The actor made a much rounder figure in September, when he had just finished the role of the Elvis manager

Hanks on Wednesday (left) was significantly slimmer than nine months earlier (right)

The actor is known for his rigorous preparation for roles: it was unclear if his weight loss was for his next film

The actor is known for his rigorous preparation for roles: it was unclear if his weight loss was for his next film

Hanks kept his arms by his side as he walked through Manhattan's Upper East Side on Wednesday

Hanks kept his arms by his side as he walked through Manhattan’s Upper East Side on Wednesday

The California-born actor spends most of his time in his home state, but has also had a residency in New York for many years

The California-born actor spends most of his time in his home state, but has also had a residency in New York for many years

The Oscar winner is currently in the midst of a promotional blitz for Elvis, which opens nationwide on June 24th

The Oscar winner is currently in the midst of a promotional blitz for Elvis, which opens nationwide on June 24th

Hanks is known for his grueling preparations for his films, and it was unclear if his recent weight loss was right for a new role.

His next planned film is Here, directed by Robert Zemeckis, in which he will star opposite Robin Wright.

“Set in a single room, it follows the many people who inhabit it over the years and years, from the past to the future,” reads the film’s synopsis on IMDB.

Hank’s most dramatic weight loss was for Castaway in 2000, when he lost 50 pounds, and in the 1993 film Philadelphia, for which he lost 35 pounds.

He’s also gained weight — most notably for the 1992 film A League of Their Own, when he gained 30 pounds.

In 2013, Hanks announced that he had been diagnosed with type 2 diabetes, which he said was down to being “lazy” and “an idiot.”

He told then-Late Show host David Letterman: “I went to the doctor and he said, ‘You know those high blood sugars you’ve been struggling with since you were 36? Well, you’ve graduated! You have type 2 diabetes, young man.”

In a separate interview, he told the Radio Times: “I belong to the lazy generation of Americans who danced blindly through the party and now find themselves with an illness.

“I was heavy. You’ve seen me in movies, you know what I look like.

“I was a total idiot.”

He added: “I figured I could avoid it by removing the buns from my cheeseburgers. Well, it takes a little bit more than that.’

Tom Hanks, 65, speaks at the Australian premiere of Elvis June 4 in the town of Gold Coast.  He once clasped the microphone with both hands to try and stop the shaking

Tom Hanks, 65, speaks at the Australian premiere of Elvis June 4 in the town of Gold Coast. He once clasped the microphone with both hands to try and stop the shaking

Two-time Best Actor Oscar winner Hanks wowed the Gold Coast crowd with his speech, in which he referenced filming in their city

Two-time Best Actor Oscar winner Hanks wowed the Gold Coast crowd with his speech, in which he referenced filming in their city

Hanks stars in the film Tom Parker, Elvis' Manager, with Austin Butler as Presley

Hanks stars in the film Tom Parker, Elvis’ Manager, with Austin Butler as Presley

The beloved actor’s tremors prompted a doctor to tell it could be an early sign of Parkinson’s.

dr Stuart Fischer, a Yale University graduate with four years of emergency medicine experience who is now the medical director of two New York City nursing homes, said the Australian footage was suggestive of the degenerative disease.

“Parkinson’s would be at the top of most doctors’ minds,” he told after viewing the footage.

“That trembling hand can be an early sign of the disease.

“You’d think he’d be on his way to a neurologist by now, if not already.

“It can take weeks, months or years for it to progress. It could be like the famous conductor James Levine that it took many years for a leg tremor to develop into a physical manifestation.”

He said the tremors could be tremors, but given Hanks’ age, it was unlikely.

“The other condition it could be is essential tremor, but this usually occurs at a younger age – although it can be made worse by anxiety and stress,” he said.

“It usually affects people in their 20s and 30s.”

When asked if it could be linked to Hank’s diabetes, he said, “No link to type 2 diabetes. I have never heard of it.’

He also ruled out it being related to Hanks, who previously had COVID.

Robert H. Eckel, board member of the American Diabetes Association and past president of the American Heart Association, told that people with diabetes in general might shake when their blood sugar gets too low.

“People living with type 2 diabetes and being treated with insulin or sulfonylurea can get shaking hands if their blood sugar gets too low, which is a condition called hypoglycemia,” he said.

“There are many possible reasons why someone gets trembling hands.

“Whether or not you have diabetes, if you notice any changes in your hands, feet or legs, you should work closely with your doctor to determine the cause and appropriate treatment if necessary.”

Hanks’ reps have yet to respond to ‘s request for comment.

In several television appearances to promote the Elvis film, Hanks noticeably keeps his hands together most of the time.

On June 13, Hanks and his co-star Austin Butler appeared on GMA and spoke to the Graceland hosts after a special screening for the Presley family.

On May 31, the pair were in London speaking to BBC’s The One Show.

Hanks and his co-star Austin Butler came down from Graceland on June 13 to talk about the new movie

Hanks and his co-star Austin Butler came down from Graceland on June 13 to talk about the new movie

On May 31st, Hanks and Butler were in London with Hanks keeping his hands close to his body

On May 31st, Hanks and Butler were in London with Hanks keeping his hands close to his body

In Australia earlier this month, crowds listened to his stories about filming in their city.

“I’ve shot films in Morocco and Los Angeles and New York City and Seattle and Berlin.

“None of them have what the Gold Coast has, and what is that? two words None of these other cities have Dan Murphy,” he said, referring to the chain of liquor stores, Dan Murphy’s.

“What a man I’ve gotten to know quite well,” he said to applause.

As his hand was shaking, Hanks tried to control it by placing his left hand under his right under the microphone.

He also briefly attempted to switch hands.

Luhrmann listens as Hanks addresses the crowd in the Gold Coast, 50 miles south of Brisbane

Luhrmann listens as Hanks addresses the crowd in the Gold Coast, 50 miles south of Brisbane

Hanks tried several times to put both hands on the microphone to stop the shaking

Hanks tried several times to put both hands on the microphone to stop the shaking

Hanks told the Gold Coast crowd how much they all enjoyed filming in Australia

Hanks told the Gold Coast crowd how much they all enjoyed filming in Australia

Hanks is seen with his wife Rita Wilson at the February 2020 Oscars

Hanks is seen with his wife Rita Wilson at the February 2020 Oscars

The audience didn’t seem to notice, however, as Hanks delighted them by declaring, “We had an absolutely amazing time with you all.

“There’s something about the people and place on the Gold Coast that makes everyone walk around with a confident expression on their faces. We were part of it.

“Your confidence, joy and joie de vivre are expressed in our film.”

He added: “You have a wonderful proactive golden son in Baz Luhrmann who loves Australia more than kangaroos, more than Dan Murphy.”

In “Saving Private Ryan,” Hanks played a World War II soldier with post-traumatic stress disorder whose hands visibly shook from the tremendous stress he was enduring.

At one point, Hanks’ character, Captain Miller, tells Sergeant Horvath that the tremors “come and go.”

Horvath replies: “You may have to look for a new job. This one doesn’t seem to agree with you anymore.”

Hanks' character in Steven Spielberg's 1998 film Saving Private Ryan has tremors due to PTSD

Hanks’ character in Steven Spielberg’s 1998 film Saving Private Ryan has tremors due to PTSD

Hanks is seen at Graceland on June 13 with (from left): Olivia De Jonge, who plays Priscilla;  Austin Butler, director Baz Luhrmann and SiriusXm host Jess Cagle

Hanks is seen at Graceland on June 13 with (from left): Olivia De Jonge, who plays Priscilla; Austin Butler, director Baz Luhrmann and SiriusXm host Jess Cagle

After the Australian premiere, Hanks flew back to the United States, where the film was screened at Graceland on June 11.

“The only reason I’m here is because it was done right,” said Lisa Marie Presley, praising Luhrmann and Butler’s interpretations of her father’s story.

“I was quite young, but I still remember my father’s energy and charisma.

“And Austin, he—what’s the word? – he nailed it.’

She said Butler’s success in the role was a contrast to previous attempts to portray Elvis on screen.

“In my life, it’s been disappointment after disappointment in terms of the people who portray my father.

“Bless their hearts, I’m sure they meant well.”