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Alcohol consumption should be strictly limited because it can increase the risk of hypoglycemia and worsen dehydration
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Expired medication that has also experienced temperature excursions, light exposure, or other storage violations has likely degraded significantly more than properly stored expired medication
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Therefore, the cause of the lower number of patients with GHD in our study may be owing to the lower cutoff value for GHD and not due to obesity

Nature 489, 242249 (2012)