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[DOI: 10.1002/14651858.ED000098] [DOI] [PMC free article] [PubMed] Schnemann 2011 Schnemann HJ, Oxman AD, Higgins JPT, Vist GE, Glasziou P, Guyatt GH

Hormonal fluctuations: Because DSIP may influence LH and GH release, theres potential for downstream hormonal shifts, though data is limited

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