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Serotonin syndrome symptoms range from mild to severe and include: Agitation, restlessness, and confusion Rapid heart rate and elevated blood pressure Dilated pupils and excessive sweating Muscle rigidity, tremor, or twitching Diarrhoea and shivering In severe cases: high fever, seizures, irregular heartbeat, and loss of consciousness If you experience any of these symptoms whilst taking fluoxetine and any other medication or supplement, seek immediate medical attention by calling 999 or attending A&E

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Additionally, these agents favorably impact cardiovascular risk factors, including reductions in blood pressure and body weight, further enhancing kidney protection [27,28]