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36 , e00316 (2016)

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When cortisol-related symptoms persist despite lifestyle modificationincluding progressive central weight gain, easy bruising, proximal muscle weakness, wide purple striae, resistant hypertension, unexplained osteoporosis, or hypokalemiaformal endocrine evaluation is warranted to exclude pathological hypercortisolism requiring specialized intervention

and will likely have a positive effect on your Horse or Camels endogenous testosterone levels

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