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Practices like mindfulness, deep breathing, and meditation can reduce stress and enhance vagus nerve function

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Patients should contact their GP or healthcare provider if they experience: Persistent palpitations a sensation of rapid, fluttering, or pounding heartbeat that lasts for extended periods or occurs frequently Significant changes in resting heart rate particularly if this represents a notable increase from your baseline or is persistently elevated Chest pain or discomfort any chest tightness, pressure, or pain, especially if accompanied by shortness of breath, sweating, or radiation to the arm or jaw Dizziness or lightheadedness particularly if severe, recurrent, or associated with near-syncope (feeling faint) Shortness of breath new or worsening breathlessness, especially at rest or with minimal exertion Syncope (fainting) any loss of consciousness requires medical assessment Immediate medical attention (999 or A&E) is required if: Chest pain suggestive of acute coronary syndrome Severe breathlessness or respiratory distress Loss of consciousness or collapse Heart rate that is very rapid with associated symptoms For urgent but non-emergency concerns, NHS 111 can provide advice

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This can be relevant for oral progesterone or oral progestogen, particularly if symptoms suggest reduced effectiveness