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Some of the risk factors for this imbalance include (Jeanmonod, 2020): Birth control pills or hormone therapies that affect estrogen levels Antibiotic use Uncontrolled diabetes Pregnancy Immune system problems Treatments for yeast infections Candida species can live in the vagina and not cause symptomsthis is the case 10-20% of the time

This effect is mediated by both Akt-dependent and Akt-independent pathways, supporting muscle growth even during caloric deficit [177]

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