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Description
Kjeldsen-Kragh, J

Symptoms may include shakiness, sweating, confusion, fast heartbeat, hunger, or weakness
In rare cases, stones can still form in the bile ducts themselves, so any severe upper abdominal pain should be evaluated by a doctor

CNS = central nervous system

however, it is important to recognize that many patients with HCM are currently without any identifiable pathogenic genetic etiology to their disease (40 to 60% of patients depending on the study)
Weight loss medications can increase urination and reduce thirst perception, so patients often drink less fluid without realizing it
