A 52-year-old woman attends your practice 20 to 30 times a year with headaches, bloating, dizziness and aching limbs that she says rule her days. She has had two computed tomography scans of the head, three abdominal ultrasounds and a gastroscopy, all normal, and has seen four specialists. She remains convinced something has been missed. She telephones for a same-day appointment whenever a symptom flares, and is angry when told to wait. Which one of the following is the most appropriate way to structure her ongoing care?
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