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[1] However, severe or persistent symptoms, signs of pancreatitis (severe abdominal pain radiating to the back), symptoms of thyroid tumors (neck mass, difficulty swallowing, persistent hoarseness), or allergic reactions (rash, itching, difficulty breathing) require prompt medical evaluation

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Jerjes et al., 2006) in ME/CFS, indicating that HPA axis hypofunction represents an important neuroendocrine feature of the disorder

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