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Leaky gut syndrome is now recognized for its role in numerous systemic diseases, including digestive diseases [245], cardiovascular diseases [246], Alzheimers disease, depression, Parkinsons disease [247,248], celiac disease [249], liver diseases [250] and renal diseases [251], metabolic syndrome [251], type 1 diabetes mellitus [252,253], and cancer [254,255]

The somatotrophic system involves circulating GH and IGF1, and the local production (autocrine or paracrine) of GH and IGF1 in several tissues (Figure 1)

The Fitzpatrick evaluation, the acne status review, the medication history check: these are not administrative steps

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