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Both panic disorder and CVS follow a similar temporality pattern and share clinical signs of sympathetic nervous system activation, suggesting they can share certain pathophysiologic mechanisms.63 Different experts posit that previous adverse experiences or chronic stress can be risk factors for developing CVS,65 given that such events can affect neuronal processing and alter allostatic regulation, predisposing certain patients to the syndrome.65–67 Due to the high prevalence of mood disorders in CVS, recent clinical guidelines suggest offering some type of “mind-body” therapy, such as meditation, relaxation therapies, or even cognitive-behavioral therapy, to the majority of patients.68 Diet-related disease Although there is currently little scientific evidence for establishing a relation between specific foods and CVS, the consumption of chocolate, cheese, and monosodium glutamate has been described as a possible trigger of CVS attacks.60,69 Curiously, those same foods have long been associated with migraine,70 and several mechanisms can explain the associations

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