Cushing’s disease
constant glucocorticoid release
obesity
depression
psychosis
buffalo hump
showerhead principle
one source of 5HT = raphe nucleus
gets everywhere
acts as neuromodulator
5HT origin
synthesised from tryptophan
although removing it from diet only has effect in 50%
in raphe nucleus
5HT-4 receptor
only expressed in gut
can be targeted
so no psychotropic effect
third dopamine system
in hypothalamus
blocks lactate system