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The pathophysiology is unclear, but risk factors are thought to be the same as the type 1 diabetic patients who rapidly improved A1c in the Diabetes Control and Complications Trial: long duration of diabetes mellitus, long duration of poor glycemic control, worse baseline level of DR prior to treatment and magnitude of reduction in A1c after treatment

In reality, interpretation depends on tissue, method, timing and pre-analytical control

Garcia takes time to review your health history, current symptoms, hormone balance, adrenal function, and how your body processes hormone metabolites

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