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These medications come in various forms, including name-brand medicines like Ozempic, Trulicity, and Victoza

Figure 3 Anorexia nervosa is a condition of severe undernutrition characterized by GH resistance secondary to chronic nutritional deprivation with resultant high GH and low serum levels of free, bioactive and total IGF-I (56)

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Mutation of this enzyme leads to fumarate accumulation not only in skin cancer and uterine leiomyomas but also in breast, bladder, and Leydig cell tumors 130

Absence of documentation should be considered a red flag

& Visscher, P