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Fachi, J

Patients may find relief from symptoms by flicking or shaking the hand

IV hydration may be discussed when dehydration or a broader supportive-care need is part of the visit

Current serotonin medications are aimed at increasing central 5-HT neurotransmission in the brain, and there are no approved indications for manipulating peripheral 5-HT, though peripheral 5-HT synthesis is being considered as a potential target for developing pharmacological agents in some disorders ( We are not aware of prior studies reporting low S-5-HT in hypothyroidism or CFS