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Ultra-processed foods, sugary snacks, and refined carbohydrates are associated with poorer mental health outcomes in observational studies

That means understanding how your GH axis markers interact with your insulin sensitivity, your thyroid function, your sex hormone status, and your cardiovascular risk profile and arriving at a recommendation that accounts for all of it

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Because if there's a lot of variability in how patients are being measured from one state, or one site to another, we'll never answer the question