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Secondly, treating the cause of secondary hyperhidrosis or prescribing medication will usually resolve the problem

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In a randomized doubleblind controlled clinical study, Liang et al

A key function of mitochondria is generation of adenosine triphosphate (ATP) from metabolic processing of carbohydrates, fats, and amino acids

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Or they might not want to open up to you about that, but maybe once youve seen them once or twice, they might say. (GP21) Some GPs described their caution, concerned that by mentioning the word endometriosis patients risked being adversely affected by researching and worrying about the potential consequences of endometriosis (for example, regarding fertility), when they might not have this diagnosis at all: Youre going to keep it generalised because you dont want people to go away worrying that its X, Y, or Z, when actually at that point you might not know. (GP33) Some GPs worried that once endometriosis was mentioned, GPs would feel pressure to follow through and refer to secondary care for a diagnosis to remove uncertainty: When I start that conversation, then I should be prepared to refer her for further investigations
