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This is usually stress response to rapid weight loss and caloric restriction (telogen effluvium), not direct medication effect

doi: 10.1016/j.bbabio.2010.06.003

Taken together, the immunosuppressive properties of L-Cn may hinder the control of HBV in chronic HBV infection, implicating that L-Cn manipulation might influence the prognosis of patients with HBV infection

Acta Dermatol Venereol, 57(2): 125-126

Conversely, in patients with anorexia nervosa, even supra-physiologic GH doses (mean maximum daily dose: 1.4 mg/day) may not be sufficient to normalize IGF-I levels (61) indicating the important role of hepatic GH sensitivity in successful IGF-I generation

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