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Sometimes people are wrongly diagnosed with postural orthostatic tachycardia syndrome #POTS when it’s actually a spinal CSF leak.

She knew she lacked coordination. She couldn’t throw or catch a ball very well. She was a slow runner and rubbish at sports. Her muscles were weak and often ached. She was always the last to be picked during PE lessons. She had to stop gymnastics due to random knee dislocations.
We need to start to consider whether the underlying *cause* of these ‘medically unexplained symptoms’ relates to underlying nutritional issues.
https://twitter.com/hwcalderdale/status/1181498894104039425?s=20I believe I am in a fairly unique position in my ability to comment on this topic. I’ve been a pharmacist for over 20 yrs working in or with the NHS. I have worked in community pharmacy, general practice, and as a lead primary care pharmacist, managing NHS prescribing budgets /2