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In men, testosterone is produced mainly in the Leydig cells, found in the testes, but smaller amounts are manufactured in the adrenal glands. The normal level of testosterone in the bloodstream for men is between 350 and 1230 nanograms per deciliter. (A is one-billionth of a gram. A is about 1/30 of an ounce. A measures fluid volume that is 1/10 of a liter. A liter is a little bigger than a quart.) Low testosterone levels in men may present as depression but it can also cause problems with cognition, and increase violent behavior.

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More recent theories included organ malfunction, such as the belief that hysteria was caused by a wandering uterus. Others touted Hippocrates’ imbalance of humors. More recent theories have included suppressed memory, trauma, poor parenting, and . The most wildly held belief of mental maladies today is that they are a manifestation of unruly neurotransmitters.

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A complete blood count to check for anemia and blood cell abnormalities. A CBC (complete blood
count) and BCP (biochemistry panel) should be run on every pet 8 years of age or more, especially if they have any of the symptoms of liver disease. The CBC might show a decrease in the number of red blood cells (RBC’s). This decrease in RBC’s is called anemia. The white blood cell count (WBC) might be elevated (leukocytosis), normal, or decreased (leukopenia), mostly depending on the cause of the liver problem and how long it has been present. A change in the WBC’s does not necessarily indicate there is a liver problem.

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Extensive Blood Work and Diagnostic Testing

Couples therapy and family therapy are useful in increasing the quality of family life. However, many mental health practitioners, marriage and family therapists are not taught to screen their families for medical illnesses. As a result, one or more family members with a medical illness may display behaviors that are significantly disrupting to the family dynamic. Research on couples and family difficulties are often spawned by abnormalities in the immune system of one or more family members. Problem solving and empathy training will not fix these problems.

Antoinette Laskey, M.D., M.P.H.

When a mental illness is involved, we may send the person to a physician for a prescription of psychotropic medication. This sometimes helps, but sometimes does not. In that event, rather than labeling the outcome or ,it is often more accurate to recognize the problem as . It may well be that the outbursts of anger Mr. Johnson exhibits will not remit until the malfunction of his adrenal glands is addressed.

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Fast Food Impacts on Workers, Animals and the Environment

Gittleman HR, Ostrom QT, Rouse CD, Dowling JA, de Blank PM et al. Trends in central nervous system tumor incidence relative to other common cancers in adults, adolescents, and children in the United States, 2000 to 2010. Cancer. 2015 Jan 1;121(1):102-12.

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Several canine breeds are prone to getting liver disease:

Meaney MJ. Maternal care, gene expression, and the transmission of individual differences in stress reactivity across generations. . 2001; 24:1161-92.

In addition to harming human health, the fast food industry also has detrimental impacts on:

PART II: 8 Important Areas of Evaluation

Therapy has helped thousands of people. If you are in private practice, you know that many of your clients are grateful for the help you have given them. However, you also are aware that some of your clients did not get significantly better. At times, when people do not improve with treatment, we label them .