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of patients. Other notable symptoms are sleep disturbances and mood deviations, which raise this possibility.

(iv) DISAUTONOMIA Another cause thought to be involved in the genesis of chronic fatigue syndrome is a disturbance in the autonomic neurological system, which is responsible for maintaining the upright posture, the tone of the body and the ability of the body to relax. Disturbances in it can create a feeling of fatigue that may interfere with the working.

(v) HORMONAL DISTURBANCES Another reason that has been considered as a cause of chronic fatigue syndrome is disturbances in the hormonal system of the body, which is controlled by two parts of the brain the hypothalamus and the pituitary. The pituitary is a gland in the lower part of brain that secretes some hormones which in turn control many other hormones of the body. The pituitary, in turn is controlled by the hypothalamus. This hypothalamus pituitary axis controls most of the hormones secreted in body, and a disturbance in this axis can create many problems that may manifest as a variety of symptoms including fatigue.

SUMMARY

Study of possible reasons and causes for chronic fatigue syndrome continues. It is possible that this condition may be a result of more than one cause, which makes the identification and confirmation of its causes all the more difficult.

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