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anorexia nervosa - abrahem
#11
Jovana I assume cortisol levels will be elavated along with chetacolamines
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#12
EEEE
a decrease
B increase
e increase in Growth hormone
d decrease insulin-like growth factor 1 (IGF-1) answer is e-
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#13
good job pcr

Patients with anorexia nervosa who develop severe malnourishment may develop a host of endocrinopathies. First, amenorrhea is very common and is attributed to a failure of the body weight-sensitive hypothalamus to elaborate normal amounts of gonadotropin-releasing hormone (GnRH). The mechanism of hypothalamic-mediated GnRH lack may be the low leptin level in these adipocyte-poor individuals. Although serum cortisol levels are generally elevated, anorexic patients do not display features of hypercortisolism. As might be expected, the thyroid function test pattern in patients with anorexia nervosa resembles the euthyroid sick syndrome in which thyroxine (T4) and triidothyronine levels are in the low or low-normal range, reverse T4 is elevated, and the thyroid stimulating hormone is low or partially suppressed. While levels of the stress-related growth hormone are elevated, hepatically produced insulin-like growth factor secretion is depressed. Some of these abnormalities, particularly decreased sex steroids and elevated cortisol, in combination with nutritional deficiencies can lead to severe osteoporosis.
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#14
Nice expl. Thanks.
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#15
so which on ee or d ???????
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#16
after u read the explanation,what will u go for?
E or D?
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