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hypothalamus stimulates the synthesis and secretion of follicle-stimulating hormone (FSH) and luteinising hormone (LH) within the anterior pituitary gland, which in turn promote ovarian folliculogenesis and steroidogenesis ( 16 ). Control of this reproductive
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trimester onwards. Hypospadias is not a reported clinical feature to date. Biochemical evaluations revealed raised basal gonadotrophins (LH and FSH), an exaggerated response to luteinizing hormone releasing hormone (LHRH) stimulation, impaired testosterone
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hormones can also stimulate several non-genomic mechanisms via the membrane-bound GR ( 1 ). Non-transcriptional effects have short-term outcomes that control several critical physiological processes, including inflammation, behavioral changes, and even
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, while 29% of patients had a high ACTH level together with a positive corticotrophin stimulation test showing absent or insufficient cortisol stimulation above the cut-off of 400 nmol/L. The vast majority of these patients had presented with a classic
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suspected clinically (weight loss, fatigue, nausea, vomiting, diarrhea, hyperpigmentation, hyponatremia and hyperkalemia) and confirmed by measuring serum cortisol at 8:00 to 9:00 h and 1 h after intramuscular stimulation with 250 µg synthetic 1
Division of Endocrinology and Metabolism, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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NIHR Health Protection Research Unit on Chemical Radiation Threats and Hazards, Imperial College London, London, UK
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NIHR Health Protection Research Unit on Chemical Radiation Threats and Hazards, Imperial College London, London, UK
National Institute for Health Research (NIHR) Health Protection Research Unit in Environmental Exposures and Health, Imperial College London, London, UK
Mohn Centre for Children’s Health and Wellbeing, Imperial College London, London, UK
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NIHR Health Protection Research Unit on Chemical Radiation Threats and Hazards, Imperial College London, London, UK
National Institute for Health Research (NIHR) Health Protection Research Unit in Environmental Exposures and Health, Imperial College London, London, UK
Mohn Centre for Children’s Health and Wellbeing, Imperial College London, London, UK
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adrenal-derived androgens have been considered as clinically important in various human conditions including 21-OH deficiency CAH, polycystic ovarian syndrome, premature adrenarche and castration-resistant prostate cancer ( 47 ). Although 11OHA4 has