Hi, from January 2019 I would be able to eat but then vomit for no reason. This progressed to 24/7 nausea and being sick, constantly racing to the the loo every morning just to throw up water and bile. By April I began to cancel clients, something I never do, but I felt so dreadful I was cancelling clients 2 hours before their appointment. I'd lost 2-3 stones in weight in approx. 2 months, my hair was falling out in clumps, and what was left was really brittle, like wire. I couldn't walk up my stairs without having to stop due to being so out of breath and having heart palpitations and my thigh muscles, which had wasted away, were in agony. Then I kept fainting and waking up two days later, to discover clients had been knocking on my door but I was unconscious the other side. My long hair became so brittle, I had to have it cut short and am on my fourth set of clothes down. In short, Then I couldn't even keep water down and became severely dehydrated and malnourished with very blurred vision.. In short, I had four ambulances and a rapid response team called out to me but was sent home from hospital each time. When I fainted and fell down a full flight of stairs, due to being examined but my vitals were ok, (I was discharged from one hospital by a consultant who said my breath smelled sweet and was probably ketoacidosis, so I should drink more! I had an unsteady gait and was still dizzy but they discharged me anyway. It was at that point I decided to use up all of my savings and go private. Thankfully the endocrinologist, cardiologist and neurologist I saw, couldn't find anything really wrong so sent me to a private psychiatrist for a two hour assessment. He was the only professional who looked at my blood tests and asked if I was itching anywhere. I showed him evidence of both my legs which are covered in rashes which I've scratched red raw. He asked me if I was taking any medication, Sertraline, which dose, 200mg, and for how long. I have such bad amnesia, I couldn't remember when it was doubled, but knew it was at the beginning of the year. He said all my symptoms were physical and liver related, and not mental. He also said nobody should be on 200mg of Sertraline for more than four weeks. I tried to find out from my GP when my dose was doubled, and why, but they kept lying, saying it was May, when I was discharged from hospital after 10 days so I went to my pharmacist to ask him. He looked really confused as my Sertraline label said 'take 100, or 150 or 200mg daily. My GP does everything by email as much as possible. My Sertraline was increased from 100 to 200 mg on 11th January, right when my symptoms began. I read the leaflet in the Sertraline packet and I've been suffering from nearly every 'rare' side effect, including bleeding gums. It mentions 'Serotonin Syndrome'. When I looked that up, I went cold. I have had nearly every side effect of that, including hypoglycemia, lowest blood sugar reading is 2.2, hypothyroidism, My T4 fell from 10.2, 7.8, then 4.1 when I was in hospital. I can only eat cold food as I'm so weak, my cognitive function is not there, which is why I pay people to type things and text for me, as I'm so slow and my hands tremble so much I keep hitting wrong keys, I order random things in the night, like two massage chairs which I have no recollection of, and am terrified to open a package when it's delivered, forgot to go to an important parent evening, as well as a speed awareness course, and an important consultant appointment and I forget whether I have taken medication, so either don't take any or take double in one day. So can you please tell me if, by going from 100 to 200mg of sertraline quickly, without being monitored by a GP, could have caused me to have Serotonin Syndrome? It's taken me an hour to type this! Thank you.