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This improvement may be due to a combination of physiological factors, such as enhanced insulin sensitivity and hormonal balance, as well as psychological factors related to increased self-esteem and body image

Thangapandian, S., John, S., Arooj, M

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White MG, Szczepaniak Sloane R, Witt RG, Reuben A, Gaudreau PO, Andrews MC, Feng N, Johnson S, Class CA, Bristow C, Wani K, Hudgens C, Nezi L, Manzo T, De Macedo MP, Hu J, Davis R, Jiang H, Prieto P, Burton E, Hwu P, Tawbi H, Gershenwald J, Lazar AJ, Tetzlaff MT, Overwijk W, Woodman SE, Cooper ZA, Marszalek JR, Davies MA , Heffernan TP, Wargo JA

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doi: 10.1046/j.1432-1327.2000.01595.x