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Among the diverse array of hormones within the human body, Melanocyte Stimulating Hormone (MSH) has a unique and complex role. -MSH), Quantitative multiplex assay techniques were utilized to study endorphin, neurotensin, orexin-A, oxytocin, and substance P. The assessment of psychotic symptoms involved the use of the Brief Psychiatric Rating Scale (BPRS) and the Positive and Negative Syndrome Scale (PANSS); the Young Mania Rating Scale (YMRS) was used to measure manic symptoms; and the 17-item Hami