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A recent review summarizes safety gaps and the regulatory context in the FDA context

And her doctor verified that at a recent appointment, noting that her blood sugar levels had normalized

Katalinic D, Anic B, Stern-Padovan R, Mayer M, Sentic M, Cikes N et al

Patients should be advised of the signs and symptoms associated with serotonin syndrome that may include mental status changes (e.g., agitation, hallucinations, delirium, and coma), autonomic instability (e.g., tachycardia, labile blood pressure, dizziness, diaphoresis, flushing, hyperthermia), neuromuscular changes (e.g., tremor, rigidity, myoclonus, hyperreflexia, incoordination), seizures, and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea)