Q: Tell the doctor about any medications you are taking and what symptoms you are experiencing. Answer any questions the doctor has relating to your general health. Symptoms related to increased serotonin levels include diarrhea, nausea and vomiting, restlessness, increased body temperature and heart rate, overactive reflexes, loss of coordination, hallucinations, flushing of the skin around the head and neck, and difficulty breathing. This test is called the Serotonin Test or the 5-HT level test and it measures the amount of serotonin in your blood. There are two main reasons a doctor would order this test.  Serotonin Syndrome can be a side effect of taking two or more medications that increase the body’s level of serotonin. The symptoms of Serotonin Syndrome will come on soon after taking the affecting drugs, anywhere from minutes to a few hours.  Your doctor could also order the 5-HT level to rule out Carcinoid Syndrome. When carcinoid tumors are present, they begin to release large amounts of serotonin into the blood and you develop Carcinoid Syndrome as a result. This is a rare condition and generally effects people that are 60 years of age and older. Allow the attending nurse or lab technician to draw blood from a vein in one of your arms. Breathe deeply and look the other way if you are squeamish about needles.  There are no special preparations required to prepare for this test. You may experience a little bit of pain or bruising, but it will go away quickly. You may be asked to stay in the doctor’s office to await the results if Serotonin Syndrome is suspected.  Otherwise, the results from the laboratory take between 3 days and 1 week. No matter what the results of the test are, make sure you discuss diagnosis and suggestions for treatment thoroughly with your doctor.
A: Discuss your symptoms with a doctor. Understand the blood test and the reasons to undergo testing. Give a sample of your blood to be tested. Wait for the results.

Q: Suppose you confront the person ignoring you and they say they understand where you’re coming.  Perhaps they even apologize for ignoring you.  Afterwards, though, they go back to ignoring you.  In this case, you must understand that they are being insincere, and do not really have an interest in maintaining a positive relationship with you. Don’t continue pushing them to apologize for ignoring you, or appealing to them to explain how their behavior makes you feel when you’ve already done so.  Someone who chronically shows you the cold shoulder is likely getting some satisfaction from doing so; don’t play their game by trying to mediate the issue over and over. If someone continuously ignores you even after you’ve attempted to reconcile with them, that’s their decision.  You should not fret about things you could have said or done differently to make them more attentive to you or your perspective. Let your friend or family member who is ignoring you know that you hope for reconciliation.  Don’t give up on them.  Some people have personal problems which need to be confronted before they figure out how to maintain healthy relationships.  Let them know that you’re there for them if they ever want to talk or need help.
A: Judge the person ignoring you by their actions. Accept the other person’s decision to put distance between you. Don’t blame yourself for their behavior. Keep the door open.

Q: Most applications are accepted, but the interview is where most people are weeded out. Your interview will likely be in a hotel, so book a room there. The interview may be in two stages, with each stage on different days. If you pass the first stage, then the next stage will be the next day. Book at least 2 nights in the hotel. Just as there is no excuse for being late to work, there is never any excuse for being late to an interview. Arrange your travel plans accordingly. Bring two suits, nice shoes, a nice pen, a pad of paper for notes, and any props or materials you want to use for your lesson. If you have print outs, print them in color. If you are using flash cards, laminate them. Make it as professional as possible. Your lesson demonstration is only 5 minutes, but the amount of work you put into preparing will impress your interviewers. Never start your demo lesson without some pictures or props. Iron your suits and polish your shoes. Don't bring perfume, extra makeup (foundation only is okay) more than 1 pair of earrings, more than 1 ring, any other flashy or colorful accessories. While people in Japan do wear many accessories, they do not wear them in the office. Excessive makeup like eyeliner and eyeshadow is frowned upon. Painted nails are a big no-no. (Clear polish is okay though). These things are unprofessional and won't even be allowed at your school if you are hired. If you are a woman, wear stockings and closed toed heeled shoes. Do not wear ballet shoes. No bright colors (pink, red, yellow, orange) and also do not wear all black. Schools want to show a professional, but "bright" friendly image. Think about that before you go. If you are man, shave your beard or trim it very short. It is relatively rare of men in Japan to grow beards, especially businessmen. If they do have one, it is always neatly trimmed. This will be a requirement at the school if you are hired. Hide any tattoos. Your school will not hire you if you display a tattoo. Some schools are okay if you have one, but you must keep it hidden and never tell students. The students "might" not care, but if they tell the staff at your school then you may have trouble.
A: If your application is accepted, arrange to attend the interview. If you need to fly or take a train, arrange it as soon as possible. Dress the part.

Q: Be aware of any lotions or pills, including those containing tyrosine. Currently, there is no evidence showing that these work and none of these products are approved by the government. Many tanning salons sell these products. Resist the sales pitch and, if you have to try the products, pick up cheap versions from any general store. After sweating so much, you’ll feel gross, but wait an hour before jumping in the shower. While an immediate shower won’t ruin your session, it will wash off any products you applied and slow the spread of the tan. Hot water does this too, so keep the temperature low. Rub a moisturizer into your skin at least once a day every day. This will keep your skin smooth and elastic, so your tan won’t fade as fast as it normally would. Avoid oil-based moisturizers since they make your tan look worse. Read the moisturizer’s label to find out if it is oil-based. once a week with a brush or sponge. Get a body brush or exfoliating sponge and use it to scrub away old skin cells. Be very gentle, since you don’t want to wear away your tan. Take care of any rough or patchy spots that cloud your tan and keep the tanning bed light from sinking in evenly. Without water, your skin flakes more and loses its glow. Keep a water bottle on hand and reach for it whenever you’re thirsty. Have some water after tanning to replace what you sweat out. Not only is sunburn painful, but it leaves your skin vulnerable to bigger health concerns like cancer. Also watch the moles on your skin for any changes in size or color. Go to a doctor if you feel sick or notice any lumps on your skin.
A:
Avoid using tanning lotion or pills. Shower at least an hour later with lukewarm water. Apply a skin moisturizer after taking a shower. Exfoliate Drink plenty of water to stay hydrated. Stop tanning when you notice sunburn or other health issues.