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Hikikomori & Loneliness in Japan: Trends, Definitions, Demographics (2024 Report)

In Japan, a country facing unique demographic challenges, loneliness has emerged as a pressing public health issue, intricately linked with the phenomenon known as hikikomori, or extreme social withdrawal. Through a detailed analysis of a nationwide survey and various factors influencing loneliness, a new study sheds light on the complexity of social isolation in modern …

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Nortriptyline-Induced “Room Tilt Illusion”: A Rare Adverse Event of Antidepressants (2024 Case Report)

Room Tilt Illusion (RTI) presents a perplexing challenge to both patients and physicians, transforming the familiar into the surreal as surroundings appear rotated or flipped. This rare condition, often linked to neurological or vestibular disorders, has recently been observed as an adverse effect of the antidepressant nortriptyline, used in treatment-resistant depression. A case report highlights …

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Unspecified Anxiety Disorder: Expert Treatment Recommendations in Japan (2023)

Anxiety disorders, a widespread mental health concern, encompass a range of conditions, each with specific characteristics and treatment protocols. However, the realm of “unspecified anxiety disorder” remains a grey area, often challenging healthcare professionals due to its lack of clear-cut guidelines. A recent study aimed to fill this gap by developing a consensus among experts …

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Lamictal & Weight Gain vs. Loss: What Should You Expect?

Lamictal (lamotrigine) is an anticonvulsant medication prescribed for the prophylaxis and/or management of epilepsy and bipolar disorder.  Research suggests that Lamictal modifies neurochemistry by: inhibiting voltage-gated sodium channels, blocking various calcium channels (L-type; N-type; P-type), antagonizing sigma and 5-HT3 receptors, upregulating GABA signaling, and suppressing the release of glutamate and aspartate.  Through the aforementioned mechanisms …

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Lithium & Weight Gain: How Much? (And Why It Happens)

Lithium is a naturally occurring element that’s commonly prescribed in the format of “lithium carbonate” for the prophylaxis and/or management of bipolar disorder.  Additionally, lithium is sometimes prescribed as an adjunct to treat refractory cases of major depressive disorder and schizophrenia.  Throughout treatment, lithium is understood to modulate numerous aspects of a user’s neurophysiology to …

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Humira (Adalimumab) & Weight Gain: A Common Reaction

Humira (Adalimumab) is a biologic, immunosuppressant medication sold and marketed by the pharmaceutical company AbbVie Inc.  More specifically, Humira functions as a TNF inhibitor whereby it binds to and blocks the physiologic effect of the proinflammatory cytokine known as “TNF-alpha.”  Blockade of inflammation induced by TNF-alpha makes Humira useful for the treatment of many autoimmune …

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Magnesium Deficiency Symptoms, Causes, & Treatments

Magnesium deficiency was first documented by Hirschfelder and Haury (1934) in a report entitled Clinical Manifestations of High and Low Plasma Magnesium.  Since the publishing of this report in the 1930s, our understanding of magnesium deficiencies has advanced significantly.  We now know that hypomagnesemia (serum magnesium below 1.7 mg/dL) is not always indicative of an …

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