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These prescription opioids may be obtained from a friend or relative, bought from a black market drug dealer, obtained by doctor shopping and acquiring drugs from multiple prescribers, and theft from clinics, hospitals, or pharmacies

This decline manifests as: Impaired recovery from exercise and injury Decreased lean body mass Increased adiposity Poor sleep quality, particularly reduced slow-wave sleep Decreased skin elasticity and wound healing Reduced immune function Critically, these two hormonal systems do not operate in isolation

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El paciente debe seguir un plan de alimentacin nutricionalmente equilibrado y moderadamente hipocalrico que contenga aproximadamente 30% de las caloras proveniente de la grasa