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You may also be at risk if you take certain medications, such as proton pump inhibitors (Nexium, Prilosec, Prevacid), histamine-2 receptor agonists (Pepcid and Zantac), and metformin for type 2 diabetes

Student-athletes are responsible for notifying the sports medicine staff of any medications they are taking when they fill out their yearly Athletics Health Questionnaire for Intercollegiate Athletics, and are also responsible for updating the sports medicine staff during the school year if there are any changes in these medications

Intestinal flora imbalance leads to a decrease in the 5-HT precursor tryptophan

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Matek D, Sikiric P, et al

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