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In contrast, the second generation somatostatin analog pasireotide has substantial negative effects on glucose homeostasis despite a reduction or normalization of hypercortisolism (8, 24)

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Ethics declarations Disclosure Dr Ahmad Abdulraheem, Dr Bara Abujaber, Lindsay Ayers, Dr Qusai Al-Zureikat, Dr Kiandokht Bashiri, Dr Ghaith Almhanni, Dr Nadera Altork, Dr Usman Afzal, Dr Peppas Spyros and Dr Won K Cho have no conflicts of interest or financial ties to disclose

In summary, gut microbial alterations associated with H

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