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Diurnal Variations


MeganMN

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So I have a pick your brain kind of question that has been puzzling me for awhile.  My symptoms are always worse when I wake up in the night and for a few hours in the morning.  The reasons for this have always been explained as a fluid/volume shift sort of thing.  My puzzlement lies in the fact that when I work a night shift and am not sleeping at night, the same diurnal variation happens, so my heart rate is always the most reactive and irritable in the wee hours of the morning and early morning, regardless of whether I am sleeping or not, which really is not explained by the volume shifting that happens when laying down.  Any thoughts? Just curious!

 

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