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phenotype in metabolic diseases, such as metabolic syndrome and type 2 diabetes. These metabolic disturbances are closely associated with insulin resistance. Hepatic insulin resistance also causes dyslipidemia, oxidative stress, endoplasmic reticulum (ER
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associated oxidative stress are linked to the development of obesity-associated metabolic disturbances, including T2DM ( 5 ), metabolic syndrome ( 6 ), central adiposity and cardiovascular disease ( 7 ). Iron has been shown to be accumulated in the liver and
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disease, anorexia nervosa, excessive exercise, chronic kidney disease, sickle cell disease and thalassemia, severe obesity, opioids); chronic stress Female Turner syndrome Premature ovarian insufficiency Kallmann syndrome Combined pituitary
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stress doses of hydrocortisone (1.2 mg/day, ~200–300 mg/day human equivalent ( 2 )) resulted in further suppression of plasma ACTH concentrations after 7 days of critical illness as compared with infusion of placebo ( 3 ), without affecting plasma POMC
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Institute of Endocrine and Metabolic Diseases, University of Science and Technology of China, Hefei, Anhui, People’s Republic of China
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Institute of Endocrine and Metabolic Diseases, University of Science and Technology of China, Hefei, Anhui, People’s Republic of China
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Institute of Endocrine and Metabolic Diseases, University of Science and Technology of China, Hefei, Anhui, People’s Republic of China
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Institute of Endocrine and Metabolic Diseases, University of Science and Technology of China, Hefei, Anhui, People’s Republic of China
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Institute of Endocrine and Metabolic Diseases, University of Science and Technology of China, Hefei, Anhui, People’s Republic of China
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Institute of Endocrine and Metabolic Diseases, University of Science and Technology of China, Hefei, Anhui, People’s Republic of China
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, increased morbidity, and huge economic burdens. A variety of factors related to the pathophysiological processes of T2D including hyperglycemia, the formation of intracellular advanced glycation end products, oxidative stress, mitochondrial dysfunction, and
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species (ROS) in peripheral tissues ( 23 ). A prospective study that enrolled 21 GD patients revealed that oxidative stress indexes were associated with thyroid function, and restoration of euthyroidism could significantly decreased oxidative stress
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), which require repeated venous sampling. The pathology of several other conditions such as major depression, bipolar disease, stress related to night shifts, nocturia, hypertension, and sleep disorders have all been claimed to include disrupted circadian
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, 9) . Younger, healthy women have increased adrenal response to physiological stress compared with men due to a stimulatory effect of estrogen on the HPA axis (10) . Increased glucocorticoid levels or HPA axis activity may furthermore suppress growth
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associated with IR and cardiovascular risk factors ( 13 ). Several studies have shown that individuals with glucose intolerance or T2DM exhibit a significantly higher level of chronic stress and hormonal stress responses ( 14 , 15 ). Salivary cortisol has
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Department of Endocrinology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Department of Medicine, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
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, fits of rage, irritability Less frequently described: ‘unexplained’ very large placenta. Laryngeal ventricular hernia, change in smile Two different scenarios: - No suspicion of disease, problems thought to be related to stress, ageing, weight gain or