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Samar Hafida, vice president of the Obesity Association a division of the ADA said in a news release

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As previously noted, there is also a sexual differential in the relationship between AVP release and the ACTH/cortisol response during insulin tolerance testing where the serum levels of copeptin (as a marker of AVP release) positively correlate with ACTH/cortisol release in women but not men (72)

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This creates a self-reinforcing cycle: low testosterone promotes further fat accumulation, which drives more aromatase conversion, leading to even lower testosterone (Cohen, 1999, Journal of Clinical Endocrinology & Metabolism )

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