Why Do I Have Pregnancy Symptoms But Not Pregnant?

Why Do I Have Pregnancy Symptoms But Not Pregnant? If you’re experiencing pregnancy symptoms like morning sickness, breast tenderness, and a missed period, but pregnancy tests are negative, you might be wondering what’s going on. At WHY.EDU.VN, we provide clear and reliable information to help you understand potential causes and find the answers you need. Let’s explore the possibilities and offer guidance on where to seek further assistance for pregnancy-like symptoms, hormonal imbalances, and overall well-being.

1. Understanding Pregnancy Symptoms and Negative Tests

Pregnancy symptoms can be confusing, especially when accompanied by negative pregnancy tests. It’s essential to understand what these symptoms mean and why a test might show a negative result despite the presence of symptoms. This section will explore the common symptoms of early pregnancy, their potential causes, and the accuracy of home pregnancy tests.

1.1. Common Early Pregnancy Symptoms

Early pregnancy symptoms can vary widely among individuals, but some common signs include:

  • Missed Period: Often the first and most noticeable sign.
  • Nausea and Vomiting: Commonly known as morning sickness, although it can occur at any time of the day.
  • Breast Tenderness: Breasts may feel sore, sensitive, or swollen.
  • Fatigue: Feeling unusually tired or exhausted.
  • Frequent Urination: An increased need to urinate.
  • Food Cravings or Aversions: Sudden changes in appetite or taste.

1.2. Accuracy of Home Pregnancy Tests

Home pregnancy tests are designed to detect human chorionic gonadotropin (hCG), a hormone produced during pregnancy. While these tests are generally reliable, several factors can affect their accuracy:

  • Timing: Testing too early in the pregnancy can result in a false negative because hCG levels may not be high enough to detect.
  • Test Sensitivity: Different tests have different levels of sensitivity to hCG.
  • Following Instructions: Incorrect use of the test can lead to inaccurate results.
  • Diluted Urine: Drinking too much fluid before testing can dilute the urine and lower hCG concentration.

1.3. Reasons for a Negative Pregnancy Test with Symptoms

There are several reasons why you might experience pregnancy symptoms but receive a negative pregnancy test result:

  • Testing Too Early: As mentioned, hCG levels may be too low to detect in the early stages of pregnancy.
  • Ectopic Pregnancy: In rare cases, an ectopic pregnancy (where the fertilized egg implants outside the uterus) can produce hCG levels that are lower than normal, leading to a negative or faint positive test.
  • Molar Pregnancy: A molar pregnancy is a rare complication characterized by abnormal growth of trophoblasts, the cells that normally develop into the placenta.
  • Miscarriage: A very early miscarriage (chemical pregnancy) may cause a brief rise in hCG levels before dropping back down.
  • Medications: Certain medications, such as diuretics or antihistamines, can affect test results.
  • Medical Conditions: Some medical conditions, like kidney disease or certain cancers, can produce hCG.

Understanding these factors can help you interpret your symptoms and test results more accurately. If you continue to experience symptoms and receive negative test results, it’s essential to consult a healthcare professional for further evaluation. At WHY.EDU.VN, you can find resources and connect with experts who can provide personalized guidance.

2. Exploring Potential Non-Pregnancy Related Causes

If you are experiencing pregnancy symptoms but not pregnant, various non-pregnancy-related factors could be at play. These can range from hormonal imbalances and medical conditions to lifestyle factors and psychological issues.

2.1. Hormonal Imbalances

Hormonal imbalances can mimic pregnancy symptoms. Key hormones to consider include estrogen, progesterone, and prolactin.

  • Estrogen: Fluctuations can cause breast tenderness, bloating, and mood swings.
  • Progesterone: High levels can lead to fatigue, nausea, and changes in appetite.
  • Prolactin: Elevated levels can cause breast discharge and missed periods.

Conditions like polycystic ovary syndrome (PCOS) and thyroid disorders can disrupt hormonal balance, leading to symptoms similar to pregnancy.

2.1.1. Polycystic Ovary Syndrome (PCOS)

PCOS is a common hormonal disorder that affects women of reproductive age. It can cause irregular periods, ovarian cysts, and elevated levels of androgens (male hormones). Symptoms that overlap with pregnancy include:

  • Irregular or missed periods
  • Weight gain
  • Bloating
  • Fatigue
  • Mood changes

2.1.2. Thyroid Disorders

Both hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) can affect the menstrual cycle and cause symptoms that mimic pregnancy.

  • Hypothyroidism: Can cause fatigue, weight gain, and irregular periods.
  • Hyperthyroidism: Can cause anxiety, weight loss, and irregular periods.

2.2. Medical Conditions

Certain medical conditions can also present symptoms similar to pregnancy.

  • Ovarian Cysts: These can cause bloating, abdominal pain, and irregular periods.
  • Uterine Fibroids: Noncancerous growths in the uterus can lead to pelvic pain, heavy bleeding, and bloating.
  • Endometriosis: A condition where the uterine lining grows outside the uterus, causing pelvic pain, irregular bleeding, and fatigue.
  • Irritable Bowel Syndrome (IBS): This gastrointestinal disorder can cause bloating, abdominal pain, and changes in bowel habits, mimicking early pregnancy symptoms.

2.3. Lifestyle Factors

Lifestyle choices can also contribute to pregnancy-like symptoms.

  • Stress: High stress levels can disrupt hormonal balance and cause a variety of physical symptoms.
  • Diet: Poor dietary habits can lead to bloating, weight gain, and digestive issues.
  • Exercise: Changes in exercise routine can affect the menstrual cycle and hormone levels.
  • Medications: Certain medications can have side effects that mimic pregnancy symptoms.

2.4. Psychological Factors: Pseudocyesis (False Pregnancy)

Pseudocyesis, or false pregnancy, is a rare condition where a person experiences many of the physical and emotional symptoms of pregnancy, despite not being pregnant.

  • Symptoms: These can include a swollen abdomen, missed periods, breast tenderness, nausea, vomiting, weight gain, and even the sensation of fetal movement.
  • Causes: The exact cause is unknown, but it is believed to be linked to psychological factors such as a strong desire to be pregnant, previous pregnancy loss, or stress.

2.5. Perimenopause

Perimenopause is the transitional period leading up to menopause, during which the ovaries gradually begin to produce less estrogen. This hormonal shift can cause a range of symptoms that sometimes mimic those of early pregnancy.

  • Irregular Periods: Changes in the length of the menstrual cycle or the heaviness of flow are common during perimenopause. This irregularity can sometimes be mistaken for a missed period in early pregnancy.
  • Hot Flashes: Sudden feelings of warmth that spread over the body are a hallmark of perimenopause. While not a pregnancy symptom, they can contribute to overall discomfort and a sense of hormonal change.
  • Sleep Disturbances: Difficulty falling asleep or staying asleep is common during both early pregnancy and perimenopause. Hormonal fluctuations can disrupt sleep patterns.
  • Mood Changes: Irritability, anxiety, and mood swings can occur in both early pregnancy and perimenopause. These emotional changes are often linked to hormonal shifts.
  • Breast Tenderness: Some women experience breast tenderness or changes in breast size during perimenopause, similar to early pregnancy symptoms.
  • Fatigue: Feeling unusually tired or lacking energy is a common symptom in both early pregnancy and perimenopause.

Recognizing these potential causes can help you better understand your symptoms and seek appropriate medical advice. At WHY.EDU.VN, we connect you with resources and experts who can provide accurate information and support.

3. Diagnostic Tests to Consider

When experiencing pregnancy-like symptoms without a positive pregnancy test, it’s essential to seek medical advice for proper diagnosis. Several tests can help identify the underlying cause of your symptoms.

3.1. Blood Tests

Blood tests can provide valuable information about your hormone levels and overall health.

  • hCG Blood Test: A quantitative hCG blood test measures the exact amount of hCG in your blood, which can detect pregnancy earlier than a urine test.
  • Hormone Level Testing: This includes measuring estrogen, progesterone, prolactin, thyroid hormones (TSH, T3, T4), and follicle-stimulating hormone (FSH). Abnormal levels can indicate hormonal imbalances.

3.2. Ultrasound

An ultrasound can help visualize the reproductive organs and identify any abnormalities.

  • Transvaginal Ultrasound: This type of ultrasound is performed by inserting a probe into the vagina, providing a clearer image of the uterus and ovaries. It can detect ovarian cysts, uterine fibroids, or other structural issues.
  • Abdominal Ultrasound: This involves placing a transducer on the abdomen to visualize the pelvic organs.

3.3. Pelvic Exam

A pelvic exam allows a healthcare provider to physically examine the reproductive organs for any abnormalities.

  • Visual Inspection: The doctor will look for any signs of infection, inflammation, or unusual growths.
  • Manual Examination: The doctor will feel the uterus, ovaries, and other pelvic structures to check for size, shape, and tenderness.

3.4. Additional Tests

Depending on your symptoms and initial test results, additional tests may be necessary.

  • Thyroid Function Tests: If thyroid issues are suspected, these tests measure thyroid hormone levels and help diagnose thyroid disorders.
  • PCOS Evaluation: This may include blood tests to measure androgen levels and an ultrasound to check for ovarian cysts.
  • Endometrial Biopsy: If there are concerns about the uterine lining, a small tissue sample may be taken for examination.

3.5. Psychological Evaluation

In cases of suspected pseudocyesis, a psychological evaluation can help assess the individual’s mental and emotional state.

  • Clinical Interview: A mental health professional will conduct an interview to gather information about the person’s symptoms, medical history, and psychological background.
  • Psychological Testing: Various tests and questionnaires may be used to assess mood, anxiety, and other psychological factors.

Seeking appropriate diagnostic tests is crucial for identifying the cause of your symptoms and receiving proper treatment. At WHY.EDU.VN, we offer resources and connections to healthcare professionals who can guide you through the diagnostic process.

4. Treatment Options for Non-Pregnancy Related Symptoms

Once the underlying cause of pregnancy-like symptoms is identified, appropriate treatment options can be explored. These options vary depending on the diagnosis and may include medical interventions, lifestyle changes, and psychological support.

4.1. Medical Treatments

Medical treatments are often necessary to address hormonal imbalances and other medical conditions.

  • Hormone Therapy: This may involve taking synthetic hormones to balance hormone levels and alleviate symptoms.
  • Medications for PCOS: Medications like birth control pills, metformin, and spironolactone can help manage PCOS symptoms such as irregular periods, acne, and excess hair growth.
  • Thyroid Medication: If you have a thyroid disorder, medication can help regulate thyroid hormone levels.
  • Pain Management: Pain relievers or other medications may be prescribed to manage pain associated with conditions like ovarian cysts, uterine fibroids, or endometriosis.

4.2. Lifestyle Modifications

Lifestyle changes can play a significant role in managing symptoms and improving overall health.

  • Diet: A balanced diet rich in fruits, vegetables, and whole grains can help regulate hormone levels and reduce symptoms like bloating and weight gain.
  • Exercise: Regular physical activity can improve mood, reduce stress, and help manage weight.
  • Stress Management: Techniques such as yoga, meditation, and deep breathing exercises can help reduce stress and improve overall well-being.
  • Sleep Hygiene: Establishing a regular sleep routine and creating a relaxing sleep environment can improve sleep quality and reduce fatigue.

4.3. Psychological Support

Psychological support is essential for individuals experiencing pseudocyesis or other psychological factors contributing to their symptoms.

  • Therapy: Cognitive-behavioral therapy (CBT) and other forms of therapy can help individuals address underlying psychological issues and develop coping strategies.
  • Counseling: Counseling can provide emotional support and guidance for individuals struggling with the desire to be pregnant or dealing with pregnancy loss.
  • Support Groups: Joining a support group can provide a sense of community and connection with others who are experiencing similar challenges.

4.4. Surgical Interventions

In some cases, surgical interventions may be necessary to address medical conditions causing pregnancy-like symptoms.

  • Ovarian Cyst Removal: If an ovarian cyst is large or causing significant pain, it may need to be surgically removed.
  • Uterine Fibroid Removal: Uterine fibroids can be removed through various surgical procedures, such as myomectomy or hysterectomy.
  • Endometriosis Surgery: Surgery can be performed to remove endometrial tissue and alleviate pain and other symptoms.

4.5. Alternative Therapies

Some individuals may find relief from pregnancy-like symptoms through alternative therapies.

  • Acupuncture: This traditional Chinese medicine technique involves inserting thin needles into specific points on the body to promote healing and balance.
  • Herbal Remedies: Certain herbs may help regulate hormone levels and alleviate symptoms. However, it’s essential to consult with a healthcare provider before using herbal remedies, as they can interact with medications or have side effects.

Choosing the right treatment options depends on your individual needs and the underlying cause of your symptoms. At WHY.EDU.VN, we provide resources and connections to healthcare professionals who can help you develop a personalized treatment plan.

5. Understanding Pseudocyesis (False Pregnancy) in Detail

Pseudocyesis, commonly known as false pregnancy or phantom pregnancy, is a complex and rare condition where a person experiences physical and emotional symptoms of pregnancy without actually being pregnant. It is a fascinating and often distressing phenomenon that requires a thorough understanding of its symptoms, causes, and management.

5.1. Symptoms of Pseudocyesis

The symptoms of pseudocyesis can closely mimic those of a real pregnancy, leading to significant confusion and emotional distress. These symptoms may include:

  • Abdominal Swelling: The abdomen may appear enlarged, as if pregnant.
  • Missed Menstrual Periods: Menstruation may stop or become irregular.
  • Breast Changes: Breasts may become tender, swollen, or produce milk.
  • Nausea and Vomiting: Morning sickness-like symptoms may occur.
  • Weight Gain: Individuals may gain weight, further contributing to the belief of pregnancy.
  • Fetal Movement Sensation: Some people may experience the sensation of fetal movement, even though there is no fetus.
  • Labor Pains: In rare cases, individuals may experience false labor pains.
  • Changes in Appetite: Food cravings or aversions may develop.
  • Fatigue: Feeling unusually tired or exhausted.

5.2. Potential Causes and Risk Factors

The exact cause of pseudocyesis is not fully understood, but it is believed to be linked to a combination of psychological, emotional, and hormonal factors. Some potential causes and risk factors include:

  • Strong Desire to Be Pregnant: A deep-seated desire to become pregnant, often associated with infertility or previous pregnancy loss.
  • Psychological Trauma: Past experiences such as miscarriage, stillbirth, or difficulty conceiving can contribute to the development of pseudocyesis.
  • Mental Health Conditions: Depression, anxiety, and other mental health conditions may increase the risk of experiencing pseudocyesis.
  • Relationship Issues: Relationship problems or social pressures related to childbearing can also play a role.
  • Hormonal Imbalances: While not always the primary cause, hormonal imbalances may contribute to the physical symptoms of pseudocyesis.

5.3. Diagnosis of Pseudocyesis

Diagnosing pseudocyesis involves ruling out actual pregnancy through pregnancy tests and ultrasound. The diagnostic process typically includes:

  • Pregnancy Tests: Blood and urine pregnancy tests will be negative, as there is no hCG hormone present.
  • Ultrasound: An ultrasound examination will not reveal a fetus in the uterus.
  • Physical Examination: A physical exam may be performed to assess the individual’s overall health and rule out other medical conditions.
  • Psychological Evaluation: A mental health professional may conduct a psychological evaluation to assess the individual’s emotional state and identify any underlying psychological issues.

5.4. Management and Treatment Strategies

Managing pseudocyesis requires a sensitive and multidisciplinary approach that addresses both the physical and psychological aspects of the condition. Treatment strategies may include:

  • Medical Intervention: Doctors should gently inform the individual that they are not pregnant, providing clear and factual information.
  • Psychological Therapy: Therapy, such as cognitive-behavioral therapy (CBT), can help individuals address underlying psychological issues, manage emotions, and develop coping strategies.
  • Medication: If there are underlying mental health conditions such as depression or anxiety, medication may be prescribed to help manage these symptoms.
  • Hormonal Regulation: If hormonal imbalances are present, hormone therapy may be used to regulate hormone levels and alleviate physical symptoms.
  • Support Groups: Joining a support group can provide a sense of community and connection with others who are experiencing similar challenges.

5.5. Supportive Communication Tips

Communicating with someone experiencing pseudocyesis requires empathy, sensitivity, and clear communication. Some tips include:

  • Be Empathetic: Acknowledge the individual’s emotions and validate their experience without reinforcing the false belief of pregnancy.
  • Provide Clear Information: Explain the medical findings in a straightforward and compassionate manner.
  • Encourage Professional Help: Encourage the individual to seek psychological therapy and medical support.
  • Avoid Judgment: Refrain from making judgmental or dismissive comments.
  • Offer Support: Offer your support and understanding throughout the process.

Understanding pseudocyesis and its complexities can help healthcare professionals, family members, and individuals better navigate this challenging condition. At WHY.EDU.VN, we provide resources and connections to experts who can offer guidance and support.

6. When to Seek Medical Advice and What to Expect

Knowing when to seek medical advice is crucial for addressing pregnancy-like symptoms and ensuring proper care. Understanding what to expect during a medical consultation can also help alleviate anxiety and prepare for the appointment.

6.1. Identifying the Right Time to Consult a Doctor

You should seek medical advice if you experience any of the following:

  • Persistent Symptoms: Pregnancy-like symptoms that continue despite negative pregnancy tests.
  • Severe Pain: Abdominal or pelvic pain that is intense or worsening.
  • Irregular Bleeding: Unusual vaginal bleeding or spotting.
  • Hormonal Imbalance Symptoms: Symptoms such as acne, hair loss, or weight gain.
  • Emotional Distress: Feelings of anxiety, depression, or overwhelming stress.

6.2. Preparing for Your Doctor’s Appointment

To make the most of your doctor’s appointment, consider the following:

  • Document Symptoms: Keep a detailed record of your symptoms, including when they started, how often they occur, and any factors that make them better or worse.
  • List Medications: Bring a list of all medications, supplements, and herbal remedies you are currently taking.
  • Medical History: Be prepared to discuss your medical history, including any previous pregnancies, medical conditions, and surgeries.
  • Questions to Ask: Write down any questions you have for your doctor, such as potential causes of your symptoms, diagnostic tests, and treatment options.

6.3. What to Expect During the Consultation

During your medical consultation, you can expect the following:

  • Medical History Review: Your doctor will review your medical history and ask about your symptoms.
  • Physical Exam: A physical exam may be performed to assess your overall health and check for any abnormalities.
  • Diagnostic Tests: Your doctor may order blood tests, ultrasound, or other diagnostic tests to help identify the cause of your symptoms.
  • Discussion of Results: Once the test results are available, your doctor will discuss them with you and explain the potential causes of your symptoms.
  • Treatment Plan: Based on the diagnosis, your doctor will develop a personalized treatment plan that may include medications, lifestyle changes, therapy, or other interventions.

6.4. Questions to Ask Your Healthcare Provider

During your appointment, don’t hesitate to ask questions to better understand your condition and treatment options. Some questions to consider include:

  • What could be causing my symptoms?
  • What tests do you recommend, and why?
  • What are the potential risks and benefits of each treatment option?
  • Are there any lifestyle changes I can make to improve my symptoms?
  • What is the long-term outlook for my condition?
  • When should I follow up with you?

6.5. Follow-Up Care and Monitoring

Following up with your healthcare provider is essential to monitor your progress and make any necessary adjustments to your treatment plan. Regular check-ups can help ensure that you are receiving the best possible care.

  • Scheduled Appointments: Attend all scheduled follow-up appointments.
  • Report Changes: Report any changes in your symptoms or new concerns to your doctor.
  • Adhere to Treatment: Follow your doctor’s instructions and adhere to your treatment plan.

Seeking timely medical advice and actively participating in your care can help you manage pregnancy-like symptoms and improve your overall well-being. At WHY.EDU.VN, we provide resources and connections to healthcare professionals who can support you throughout your healthcare journey.

7. Coping Strategies and Support Systems

Experiencing pregnancy-like symptoms when you are not pregnant can be emotionally challenging. Developing effective coping strategies and building a strong support system can help you navigate these difficulties and maintain your well-being.

7.1. Emotional Coping Mechanisms

Emotional coping mechanisms can help you manage feelings of disappointment, anxiety, or confusion.

  • Acknowledge Your Feelings: Allow yourself to feel and process your emotions without judgment.
  • Practice Self-Care: Engage in activities that promote relaxation and well-being, such as taking a bath, reading, or spending time in nature.
  • Stay Informed: Educate yourself about potential causes of your symptoms and treatment options.
  • Set Realistic Expectations: Avoid comparing your experience to others and focus on your individual journey.

7.2. Building a Support Network

Having a strong support network can provide emotional support and practical assistance.

  • Family and Friends: Talk to trusted family members and friends about your feelings and experiences.
  • Support Groups: Join a support group for individuals with similar experiences, such as infertility or hormonal imbalances.
  • Online Communities: Participate in online forums or social media groups where you can connect with others and share information.
  • Mental Health Professionals: Seek support from a therapist or counselor who can provide guidance and support.

7.3. Effective Communication Techniques

Communicating effectively with others can help you express your needs and receive the support you need.

  • Be Open and Honest: Share your feelings and experiences with trusted individuals.
  • Use “I” Statements: Express your needs and feelings using “I” statements, such as “I feel sad when…” or “I need your support with…”
  • Active Listening: Listen attentively to others and validate their perspectives.
  • Set Boundaries: Clearly communicate your boundaries and expectations to others.

7.4. Mindfulness and Relaxation Techniques

Mindfulness and relaxation techniques can help reduce stress and promote a sense of calm.

  • Meditation: Practice mindfulness meditation to focus on the present moment and reduce racing thoughts.
  • Deep Breathing: Engage in deep breathing exercises to calm your nervous system and reduce anxiety.
  • Yoga: Practice yoga to improve flexibility, reduce stress, and promote relaxation.
  • Progressive Muscle Relaxation: Tense and release different muscle groups in your body to reduce muscle tension and promote relaxation.

7.5. Seeking Professional Psychological Support

If you are struggling to cope with your symptoms and emotions, seeking professional psychological support is essential.

  • Therapy: Cognitive-behavioral therapy (CBT) can help you identify and change negative thought patterns and behaviors.
  • Counseling: Counseling can provide emotional support and guidance for individuals struggling with difficult emotions.
  • Psychiatry: A psychiatrist can prescribe medications to manage symptoms of anxiety, depression, or other mental health conditions.

Implementing effective coping strategies and building a strong support system can help you navigate the challenges of experiencing pregnancy-like symptoms when you are not pregnant. At WHY.EDU.VN, we provide resources and connections to healthcare professionals and support networks that can assist you in your journey.

Navigating unexplained pregnancy symptoms can be a complex and emotional journey. Remember, you are not alone, and there are resources available to help you find answers and support. WHY.EDU.VN is committed to providing reliable information and connecting you with experts who can address your questions and concerns.

If you’re seeking personalized guidance or have further questions, don’t hesitate to reach out. Visit WHY.EDU.VN at 101 Curiosity Lane, Answer Town, CA 90210, United States, or contact us via Whatsapp at +1 (213) 555-0101. Our team is here to help you find the answers you need.

8. Frequently Asked Questions (FAQ)

1. Why do I feel pregnant but the test is negative?

There are several reasons, including testing too early, hormonal imbalances, medical conditions, or psychological factors like pseudocyesis (false pregnancy).

2. Can stress cause pregnancy symptoms?

Yes, high stress levels can disrupt hormonal balance and cause physical symptoms that mimic pregnancy.

3. What are the most common symptoms of a false pregnancy?

Common symptoms include abdominal swelling, missed periods, breast tenderness, nausea, vomiting, and the sensation of fetal movement.

4. How accurate are home pregnancy tests?

Home pregnancy tests are generally reliable if used correctly, but testing too early or not following instructions can lead to inaccurate results.

5. What blood tests can help determine the cause of my symptoms?

hCG blood tests, hormone level testing (estrogen, progesterone, prolactin), and thyroid function tests can help identify underlying issues.

6. Can ovarian cysts cause pregnancy-like symptoms?

Yes, ovarian cysts can cause bloating, abdominal pain, and irregular periods, mimicking early pregnancy symptoms.

7. What is pseudocyesis, and how is it treated?

Pseudocyesis is a rare condition where a person experiences pregnancy symptoms without being pregnant. Treatment involves medical intervention, psychological therapy, and addressing any underlying mental health conditions.

8. When should I see a doctor for pregnancy-like symptoms?

You should see a doctor if you experience persistent symptoms despite negative pregnancy tests, severe pain, irregular bleeding, or emotional distress.

9. What lifestyle changes can help manage these symptoms?

A balanced diet, regular exercise, stress management techniques, and good sleep hygiene can help manage symptoms and improve overall health.

10. Where can I find support for dealing with unexplained pregnancy symptoms?

You can find support through family, friends, support groups, online communities, and mental health professionals. At why.edu.vn, we provide resources and connections to healthcare professionals and support networks.

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