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One American-based study estimated the additional annual cost associated with obesity in men was US $1152 and in women was US $3613, which given the high prevalence of obesity in the US led to an estimated spending of about $190 billion per year (21% of total healthcare spending) [4]
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If you do have noticeable symptoms, tests will be taken to rule out other possible causes, as digestive conditions like irritable bowel syndrome (IBS) and peptic ulcers can have similar symptoms
Gottfrieds framework paraphrased from her published books and clinical lectures emphasizes the upstream causes of androgen excess (stress, insulin, gut, sleep) and uses spironolactone strategically: as a bridge while upstream work is happening, or as a long-term tool when lifestyle alone doesnt close the gap
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