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The clinical picture varies substantially between individuals the woman with severe insulin resistance and obesity faces a different therapeutic priority than the lean woman with a GnRH pulse disorder and normal metabolic indices and treatment should reflect that heterogeneity

Kimberly Kinzig, Purdue University, USA Updates Copyright 2015 van den Heuvel, Eggels, van Rozen, Fliers, Kalsbeek, Adan and la Fleur

[DOI] [PMC free article] [PubMed] [Google Scholar] 76.Shigeoka AA, Mueller JL, Kambo A, et al

This case highlights the importance of differentiating mycotoxin illness from CIRS and emphasizes the role of treatment sequencing in complex environmental illness