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This heterogeneity is further complicated by variation in terminology and the definitions used by different groups in the field

Naliboff BD, Stephens AJ, Lai HH et al: Clinical and psychosocial predictors of urological chronic pelvic pain symptom change in 1 year: A prospective study from the mapp research network

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When levels drop too low, symptoms often show up as fatigue, brain fog, mood changes, or difficulty maintaining focus
