Specifically, 1. are sailvary assays for cortisol and testosterone the best measure? Or is a urine estimate better? 2. How useful is urinary SHIAA as a measure of central serotonin levels/function?
Urinary 5HIAA measures serotonin synthesis outside the brain, mainly in the intestine. There are two possible ways to measure the rate of serotonin synthesis in human brain. The first is measuring 5HIAA in the cerebrospinal fluid, a method that has been used for about 50 years. The second method is positron emission tomography using alpha-[11C]methyl-L-tryptophan. Unfortunately neither method is easy to do.
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