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So, first her presentation, her history is certainly consistent with the diagnosis of bipolar I mania with these prior depressive episodes predating any manias from college

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Marked mydriasis rather than miosis may be seen with hypoxia in overdose situations[see CLINICAL PHARMACOLOGY]

Heres whats really happening: As our estrogen takes a nosedive, our bodies go through a total metabolic rebellion: Your metabolism slows down like its taking an unwanted vacation Your body starts hoarding fat around your middle (hello, menopot!) You become more insulin resistant (meaning your body struggles to process carbs like it used to) Your muscle mass starts disappearing, even if youre active Your appetite signals go haywire (that 3 PM cookie craving

This is specialized testing that can be requested and conducted by the Armed Forces Medical Examiner System (AFMES) if there is suspicion