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Eventually, in most people, the brain will reduce the excess allostatic cortisol production as a protective mechanism to prevent the serious consequences of elevated cortisol-weight gain around the middle, diabetes, immune suppression leading to greater cancer risk, heart disease and depression and anxiety

This combination of false claims and minimal regulation with compounded medications translates into a real risk for patients

Real expectations set patients up to meet bumps in the road

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Patients who required invasive management (surgery, radiologic or endoscopic intervention) or died from postoperative complication where issued as severe morbidity (grade IIIV) 45