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The patient described in this case has polycythemia vera.
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When cortisol gets too high, you start getting resistance from the hormone receptors, and it requires more hormones to create the same effect.
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 There is insufficient evidence to support its use in obsessive-compulsive disorder and treatment-resistant depression. Recently she has developed a wheezing cough and shortness of breath (Class 3 above?). Most people with depression have deep feelings of sadness.
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