I have taken care of patients with carcinoid syndrome and the prognosis was 'guarded'....I have had these 'disturbances' for 20 years, needless to say, they were underestimated.

I will be seeing an endocrinologist. I imagine they have thought Carcinoid, if not, I will fire them. Carcinoid is miserable.

I found my dad's death cert, and among his causes of death, 'multiple endocrine abnormalites'. Hmmm.

On the serotonin, I have had all the symptoms of serotonin intoxication, and they reliably come on if I ever consent to take that stuff....pretty much go around the black hole every time. I spent a few years zipping around the cosmos on zoloft, wondering why every 10-14 days I got one of these. They are much worse now as I have aged.

Until one's rump has ridden the 'event horizon' as I call it, with one's head in immersed in excessive mass, they can't comprehend.....and this happens every time they try something that is supposed to increase available serotonin, one can not imagine what this feels like....and then they want to give me more serotonin?? My lord, they would blast me into a parallel universe....and I do not trust any physician or stellar staff to give this a try.

Increasing serotonin is the mainstay of pain management....it is not for autonomic dysreflexia (morphine and beta blockers).

I imagine they can test for serum serotonin? Interestingly, I have a dopamine responsive movement disorder....the two are in inverse relationship.

Also, I was in a really bad car accident....could be head or spinal trauma....then again, I had the dopamine responsive movement disorder way before then, and before the headache, which smacks of genetics. I think I have been around too long to have carcinoid?? I dunno.

Also, bone loss is reported with increased 'gut' serotonin, which I have read both does and does not affect the neuro system.

Alas, I am an enigma.