Journal of Clinical Endocrinology and Metabolism : JCEM




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Cardiovascular Safety and Sclerostin Inhibition 

Bente Lomholt Langdahl, Lorenz Christian Hofbauer, John Colin Forfar

doi : 10.1210/clinem/dgab193

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1845–1853

Sclerostin, which is primarily produced by the osteocytes, inhibits the canonical Wnt pathway and thereby the osteoblasts and stimulates RANKL release by the osteocytes and thereby osteoclast recruitment. Inhibition of sclerostin therefore causes stimulation of bone formation and inhibition of resorption. In clinical trials, romosozumab, an antibody against sclerostin, increases bone mineral density and reduces the risk of fractures compared with placebo and alendronate.

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Long-Term Weight Loss Strategies for Obesity 

Karim Kheniser, David R Saxon, Sangeeta R Kashyap

doi : 10.1210/clinem/dgab091

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1854–1866

Obesity is a chronic disease that is difficult to manage without holistic therapy. The therapeutic armamentarium for obesity primarily consists of 4 forms of therapy: lifestyle modification (ie, diet and exercise), cognitive behavioral therapy, pharmacotherapy, and bariatric surgery.

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A Novel SLC5A5 Variant Reveals the Crucial Role of Kinesin Light Chain 2 in Thyroid Hormonogenesis 

Mariano Mart?n, Carlos Pablo Modenutti, Mauco Lucas Gil Rosas, Victoria Peyret, Romina Celeste Geysels

doi : 10.1210/clinem/dgab283

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1867–1881

Iodide transport defect (ITD) (Online Mendelian Inheritance in Man No. 274400) is an uncommon cause of dyshormonogenic congenital hypothyroidism due to loss-of-function variants in the SLC5A5 gene, which encodes the sodium/iodide symporter (NIS), causing deficient iodide accumulation in thyroid follicular cells.

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Successful Delivery in 17,20-Lyase Deficiency 

Zeev Blumenfeld, Ilana Koren

doi : 10.1210/clinem/dgab222

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1882–1886

Pregnancy achievement in an infertile patient with 17,20-lyase deficiency.

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Prenatal Exposure to Bisphenols and Phthalates and Postpartum Depression: The Role of Neurosteroid Hormone Disruption 

Melanie H Jacobson, Cheryl R Stein, Mengling Liu, Marra G Ackerman, Jennifer K Blakemore 

doi : 10.1210/clinem/dgab199

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1887–1899

Postpartum depression (PPD) is a serious psychiatric disorder. While causes remain poorly understood, perinatal sex hormone fluctuations are an important factor, and allopregnanolone in particular has emerged as a key determinant. Although synthetic environmental chemicals such as bisphenols and phthalates are known to affect sex hormones, no studies have measured allopregnanolone and the consequences of these hormonal changes on PPD have not been interrogated.

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Basal Ganglia Calcification Is Associated With Local and Systemic Metabolic Mechanisms in Adult Hypoparathyroidism 

Guido Zavatta, Peter J Tebben, Cynthia H McCollough, Lifeng Yu, Thomas Vrieze

doi : 10.1210/clinem/dgab162

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1900–1917

Hypoparathyroidism is characterized by low serum calcium, increased serum phosphorus, and inappropriately low or decreased serum parathyroid hormone, which may be associated with soft tissue calcification in the basal ganglia of the brain.

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A Polygenic Risk Score to Predict Future Adult Short Stature Among Children 

Tianyuan Lu, Vincenzo Forgetta, Haoyu Wu, John R B Perry, Ken K Ong 

doi : 10.1210/clinem/dgab215

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1918–1928

Adult height is highly heritable, yet no genetic predictor has demonstrated clinical utility compared to mid-parental height.

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Progesterone Receptors Promote Quiescence and Ovarian Cancer Cell Phenotypes via DREAM in p53-Mutant Fallopian Tube Models 

Laura J Mauro, Megan I Seibel, Caroline H Diep, Angela Spartz, Carlos Perez Kerkvliet 

doi : 10.1210/clinem/dgab195

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1929–1955

The ability of ovarian steroids to modify ovarian cancer (OC) risk remains controversial. Progesterone is considered to be protective; recent studies indicate no effect or enhanced OC risk. Knowledge of progesterone receptor (PR) signaling during altered physiology that typifies OC development is limited.

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Comprehensive Identification of Pathogenic Gene Variants in Patients With Neuroendocrine Disorders 

Sebastian Alexis Vishnopolska, Maria Florencia Mercogliano, Maria Andrea Camilletti, Amanda Helen Mortensen, Debora Braslavsky 

doi : 10.1210/clinem/dgab177

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1956–1976

Congenital hypopituitarism (CH) can present in isolation or with other birth defects. Mutations in multiple genes can cause CH, and the use of a genetic screening panel could establish the prevalence of mutations in known and candidate genes for this disorder. It could also increase the proportion of patients that receive a genetic diagnosis.

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Mediators Linking Maternal Weight to Birthweight and Neonatal Fat Mass in Healthy Pregnancies 

Oddrun Kristiansen, Manuela Zucknick, Trine M Reine, Svein O Kolset, Thomas Jansson 

doi : 10.1210/clinem/dgab166

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1977–1993

Lifestyle interventions have not efficaciously reduced complications caused by maternal weight on fetal growth, requiring insight into explanatory mediators.

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The Association of TSH and Thyroid Hormones With Lymphopenia in Bacterial Sepsis and COVID-19 

Inge Grondman, Aline H de Nooijer, Nikolaos Antonakos, Nico A F Janssen, Maria Mouktaroudi

doi : 10.1210/clinem/dgab148

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 1994–2009

Lymphopenia is a key feature of immune dysfunction in patients with bacterial sepsis and coronavirus disease 2019 (COVID-19) and is associated with poor clinical outcomes, but the cause is largely unknown. Severely ill patients may present with thyroid function abnormalities, so-called nonthyroidal illness syndrome, and several studies have linked thyrotropin (thyroid stimulating hormone, TSH) and the thyroid hormones thyroxine (T4) and 3,5,3?-triiodothyronine (T3) to homeostatic regulation and function of lymphocyte populations.

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Circulating Glycerolipids, Fatty Liver Index, and Incidence of Type 2 Diabetes: A Prospective Study Among Chinese 

Zhenhua Niu, Qingqing Wu, Liang Sun, Qibin Qi, He Zheng

doi : 10.1210/clinem/dgab165

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2010–2020

Few lipidomic studies have specifically investigated the association of circulating glycerolipids and type 2 diabetes (T2D) risk, especially among Asian populations. It remains unknown whether or to what degree fatty liver could explain the associations between glycerolipids and T2D.

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Effect of Transdermal Estradiol and Insulin-like Growth Factor-1 on Bone Endpoints of Young Women With Anorexia Nervosa 

Vibha Singhal, Amita Bose, Meghan Slattery, Melanie S Haines, Mark A Goldstein ...

doi : 10.1210/clinem/dgab145

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2021–2035

Anorexia nervosa (AN) is prevalent in adolescent girls and is associated with bone impairment driven by hormonal alterations in nutritional deficiency.

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The Impact of Low-dose Gliclazide on the Incretin Effect and Indices of Beta-cell Function 

Ruth L M Cordiner, Andrea Mari, Andrea Tura, Ewan R Pearson

doi : 10.1210/clinem/dgab151

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2036–2046

Studies in permanent neonatal diabetes suggest that sulphonylureas lower blood glucose without causing hypoglycemia, in part by augmenting the incretin effect. This mechanism has not previously been attributed to sulphonylureas in patients with type 2 diabetes (T2DM). We therefore aimed to evaluate the impact of low-dose gliclazide on beta-cell function and incretin action in patients with T2DM.

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Machine Learning-based Prediction Model for Treatment of Acromegaly With First-generation Somatostatin Receptor Ligands 

Luiz Eduardo Wildemberg, Aline Helen da Silva Camacho, Renan Lyra Miranda, Paula C L Elias, Nina R de Castro Musolino

doi : 10.1210/clinem/dgab125

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2047–2056

Artificial intelligence (AI), in particular machine learning (ML), may be used to deeply analyze biomarkers of response to first-generation somatostatin receptor ligands (fg-SRLs) in the treatment of acromegaly.

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Reducing NF-?B Signaling Nutritionally is Associated with Expedited Recovery of Skeletal Muscle Function After Damage 

Tom S O Jameson, George F Pavis, Marlou L Dirks, Benjamin P Lee, Doaa R Abdelrahman 

doi : 10.1210/clinem/dgab106

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2057–2076

The early events regulating the remodeling program following skeletal muscle damage are poorly understood.

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In Silico, In Vitro, and In Vivo Analysis Identifies Endometrial Circadian Clock Genes in Recurrent Implantation Failure 

Junyu Zhai, Shang Li, Jingwen Hu, Minzhi Gao, Yun Sun

doi : 10.1210/clinem/dgab119

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2077–2091

Previous work has demonstrated the role of the circadian clock in ovarian steroid hormone synthesis and attributed embryo implantation failure associated with arrhythmic circadian clock genes to insufficient ovarian-derived progesterone synthesis. Research on expression of core circadian clock genes in the endometrium itself and possible roles in compromised endometrial receptivity and recurrent implantation failure (RIF) are limited.

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Alfacalcidol vs Calcitriol in the Management of Patient With Hypoparathyroidism: A Randomized Controlled Trial 

Soma Saha, Vishnubhatla Sreenivas, Ravinder Goswami

doi : 10.1210/clinem/dgab114

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2092–2102

Alfacalcidol and calcitriol are commonly used for managing hypoparathyroidism. Their relative merits have not been systematically assessed.

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Aversion to Off-label Prescribing in Clinical Pediatric Weight Management: The Quintessential Double Standard 

Christine B San Giovanni, Brooke Sweeney, Joseph A Skelton, Megan M Kelsey, Aaron S Kelly

doi : 10.1210/clinem/dgab276

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2103–2113

Pediatric obesity is now recognized as a chronic disease; yet few treatment options exist besides lifestyle modification therapy and bariatric surgery. We describe the limited availability of United States Food and Drug Administration (FDA)–approved antiobesity medications for adolescents and compare this to what is available for adults. We offer a rationale for off-label prescribing to assist with lifestyle modification therapy. We also highlight the need for more pharmacotherapy options and additional research into novel treatments for pediatric obesity.

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Approach to the Patient Treated with Steroidogenesis Inhibitors 

Frederic Castinetti, Lynnette K Nieman, Martin Reincke, John Newell-Price

doi : 10.1210/clinem/dgab122

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2114–2123

Steroidogenesis inhibitors can be given to control the hypercortisolism of Cushing’s syndrome in various situations: when surgery has been unsuccessful or not possible; in metastatic adrenocorticotropin hormone (ACTH) or cortisol-secreting tumors; when waiting for the maximal efficacy of radiation techniques; for rapid treatment of severe hypercortisolism in patients with occult ACTH-producing tumors; or as a presurgical treatment in patients with severe comorbidities. Whilst biochemical “control” can be achieved in more than 50% of cases, daily management of such drugs can be challenging. Indeed, with a “dose-titration” or a “block and replace” approach, defining eucortisolism is usually difficult, requiring the measurement of several biological markers. Moreover, each drug has its own side effects, which must be monitored closely. The aim of this “approach to the patient” is to shed light on the management of hypercortisolism with 4 steroidogenesis inhibitors (ketoconazole, levoketoconazole, metyrapone, osilodrostat) to help endocrinologists dealing with patients with Cushing’s syndrome. Various points will be discussed, such as initial dose of treatment, dose schedule, monitoring of efficacy, and side effects of monotherapy. The combination of steroidogenesis inhibitors will also be discussed.

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Genetic Thyrotropin Regulation of Atrial Fibrillation Risk Is Mediated Through an Effect on Height 

Mingjian Shi, Ali M Manouchehri, Christian M Shaffer, Nataraja Sarma Vaitinadin, Jacklyn N Hellwege

doi : 10.1210/clinem/dgab272

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2124–2132

A genetic predisposition to lower thyrotropin (TSH) levels is associated with increased atrial fibrillation (AF) risk through undefined mechanisms.

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Clinical Adverse Events Associated with Sodium–Glucose Cotransporter 2 Inhibitors: A Meta-Analysis Involving 10 Randomized Clinical Trials and 71 553 Individuals 

Donna Shu-Han Lin, Jen-Kuang Lee, Wen-Jone Chen

doi : 10.1210/clinem/dgab274

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages 2133–2145

SGLT2is are first-line antidiabetic agents with demonstrated cardiovascular benefits. Prior meta-analyses have examined adverse events (AEs) associated with these drugs in general, but such knowledge needs to be updated with the results of more recent trials. In addition, the occurrence of various AEs with different underlying diseases is unknown.

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The Impact of the COVID-19 Pandemic on Self-Reported Outcomes in Patients With Adrenal Insufficiency 

Dingfeng Li, Malavika Suresh, Tiffany Abbondanza, Anand Vaidya, Irina Bancos

doi : 10.1210/clinem/dgab334

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2469–e2479

To determine the impact of the pandemic on self-reported outcomes in patients with adrenal insufficiency (AI).

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Meal Timing of Subtypes of Macronutrients Consumption With Cardiovascular Diseases: NHANES, 2003 to 2016 

Wanying Hou, Jian Gao, Wenbo Jiang, Wei Wei, Huanyu Wu

doi : 10.1210/clinem/dgab288

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2480–e2490

Emerging evidence suggests that not only the quantity but also the quality and food sources of macronutrients plays an important role in CVD. However, limited studies have examined the association of meal timing of different quality of macronutrients with CVD risk.

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Faster Lumbar Spine Bone Loss in Midlife Predicts Subsequent Fracture Independent of Starting Bone Mineral Density 

Albert Shieh, Arun S Karlamangla, Mei-Hua Huang, Weijuan Han, Gail A Greendale

doi : 10.1210/clinem/dgab279

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2491–e2501

Bone mineral density (BMD) decreases rapidly during menopause transition (MT), and continues to decline in postmenopause.

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Genetically Determined Higher TSH Is Associated With a Lower Risk of Diabetes Mellitus in Individuals With Low BMI 

Maxime M Bos, Nicolien A van Vliet, Simon P Mooijaart, Raymond Noordam, Diana van Heemst

doi : 10.1210/clinem/dgab277

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2502–e2511

Thyroid status is hypothesized to be causally related with the risk of diabetes mellitus (DM), but previous results were conflicting possibly because of a complex interaction between thyrotropin (TSH), body mass index (BMI) and DM.

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Treatment of Hyperthyroidism Reduces Systemic Oxidative Stress, as Measured by Markers of RNA and DNA Damage 

Camilla B Larsen, Kamilla R Riis, Kristian H Winther, Emil L Larsen, Christina Ellervik

doi : 10.1210/clinem/dgab273

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2512–e2520

Whole-body oxidative stress can be estimated by the urine excretion of oxidized guanosine species, 8-oxo-7,8-dihydroguanosine (8-oxoGuo) and 8-oxo-7,8-dihydro-2’-deoxyguanosine (8-oxodG), derived from RNA and DNA, respectively. These oxidative stress markers are not well explored in thyroid disorders.

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Plasma Cortisol and Risk of Atrial Fibrillation: A Mendelian Randomization Study 

Susanna C Larsson, Wei-Hsuan Lee, Stephen Burgess, Elias Allara

doi : 10.1210/clinem/dgab219

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2521–e2526

Atrial fibrillation (AF), cardiac arrhythmias, and related risk factors are common in patients with Cushing’s syndrome, or clinical chronic hypercortisolism. While hypercortisolism may be associated with AF, this association has not yet been ascertained causally.

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Bone Material Strength Index as Measured by Impact Microindentation is Low in Patients with Primary Hyperparathyroidism 

Manuela Schoeb, Elizabeth M Winter, Maria A Sleddering, Mirjam A Lips, Abbey Schepers

doi : 10.1210/clinem/dgab207

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2527–e2534

In primary hyperparathyroidism (PHPT) bone mineral density (BMD) is typically decreased in cortical bone and relatively preserved in trabecular bone. An increased fracture rate is observed however not only at peripheral sites but also at the spine, and fractures occur at higher BMD values than expected. We hypothesized that components of bone quality other than BMD are affected in PHPT as well.

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One Year of GH Treatment for Growth Failure in Children With Anorexia Nervosa: A Randomized Placebo-Controlled Trial 

Juliane Léger, Anne Fjellestad-Paulsen, Anne Bargiacchi, Justine Pages, Didier Chevenne 

doi : 10.1210/clinem/dgab203

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2535–e2546

Children with anorexia nervosa (AN) are at risk of adult height deficit due to prolonged low height velocity (HV).

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Genetic Predisposition to Type 2 Diabetes and Insulin Levels Is Positively Associated With Serum Urate Levels 

Jiahao Zhu, Lingling Sun, Jing Yang, Jiayao Fan, Lap Ah Tse 

doi : 10.1210/clinem/dgab200

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2547–e2556

Previous epidemiological evidence showed that type 2 diabetes (T2D) is related with gout. However, the causality and the direction of this association are still not definitely elucidated. We investigated bidirectional associations of T2D and glycemic traits with serum urate concentrations and gout using a Mendelian randomization approach.

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Cranial MRI Abnormalities and Long-term Follow-up of the Lesions in 770 Girls With Central Precocious Puberty 

Didem Helvac?o?lu, Serap Demircio?lu Turan, Tülay Güran, Zeynep Atay, Adnan Da?ç?nar ...

doi : 10.1210/clinem/dgab190

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2557–e2566

Central precocious puberty (CPP) may arise from central nervous system (CNS) lesions in a few affected girls. Recently, the incidence of girls with CPP has increased mostly in 6-8 year olds, in whom the necessity of magnetic resonance imaging (MRI) is debated.

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Urinary Phthalate Biomarkers and Bone Mineral Density in Postmenopausal Women 

Katherine W Reeves, Gabriela Vieyra, Nydjie P Grimes, Jaymie Meliker, Rebecca D Jackson 

doi : 10.1210/clinem/dgab189

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2567–e2579

Phthalates are endocrine-disrupting chemicals that could disrupt normal physiologic function, triggering detrimental impacts on bone.

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Radioactive Iodine Treatment for Children and Young Adults with Thyroid Cancer in South Korea: A Population-based Study 

Gi Hyeon Seo, Kyoung Ae Kong, Bom Sahn Kim, Seo Young Kang, Byung Seok Moon 

doi : 10.1210/clinem/dgab192

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2580–e2588

This study investigated radioactive iodine treatment (RAIT) patterns and the secondary cancer incidence among children and young adults receiving RAIT after thyroidectomy for thyroid cancer.

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Revisiting the Role of Insulin-like Growth Factor-1 Measurement After Surgical Treatment of Acromegaly 

In-Ho Jung, Seonah Choi, Cheol Ryong Ku, Sang-Guk Lee, Eun Jig Lee ...

doi : 10.1210/clinem/dgab186

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2589–e2599

In the management of growth hormone (GH)–secreting pituitary adenomas, the oral glucose tolerance test (OGTT) has been the gold standard not only for diagnoses but also for the determination of biochemical remission. Insulin-like growth factor-1 (IGF-1) is an essential biomarker, although it should be adjusted for both age and sex.

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Low Intake of Vegetable Protein is Associated With Altered Ovulatory Function Among Healthy Women of Reproductive Age 

Keewan Kim, Samrawit F Yisahak, Carrie J Nobles, Victoria C Andriessen, Elizabeth A DeVilbiss ..

doi : 10.1210/clinem/dgab179

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2600–e2612

Diets high in plant-based protein have gained popularity due to increasing health concerns regarding consumption of animal products. Though links between intakes of certain protein-rich foods and reproductive disorders have been suggested, the relationship of overall animal and vegetable proteins with reproductive hormones among reproductive-aged women is unknown.

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An Updated Reference for Calculating Bone Mineral Density T-Scores 

Shanshan Xue, Yuzheng Zhang, Wenjing Qiao, Qianqian Zhao, Dingjie Guo 

doi : 10.1210/clinem/dgab180

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2613–e2621

Bone mineral density (BMD) T-score references may be updated when the peak BMD of the population is unclear and warrants reevaluation.

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Two-Year Treatment With Metformin During Puberty Does Not Preserve ?-Cell Function in Youth With Obesity 

Megan M Kelsey, Allison Hilkin, Laura Pyle, Cameron Severn, Kristina Utzschneider 

doi : 10.1210/clinem/dgab170

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2622–e2632

Youth-onset type 2 diabetes is a disease of pubertal onset, associated with additional burden of pubertal insulin resistance on the ?-cell.

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Prenatal Exposure to Butyl Paraben Is Associated With Fat Percentage in 7-Year-Old Boys 

Frederik Damsgaard H?jsager, Henriette Boye Kyhl, Hanne Frederiksen, Anders Juul, Anna-Maria Andersson 

doi : 10.1210/clinem/dgab167

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2633–e2638

Parabens are used as preservatives in consumer products but are suspected of having endocrine-disrupting properties. A recent study reported an association between in utero exposure to butyl paraben and overweight in childhood, with a stronger trend in girls.

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The Interactive Effect of Prepregnancy Overweight/Obesity and Isolated Maternal Hypothyroxinemia on Macrosomia 

Yindi Liu, Fei Guo, Yulai Zhou, Xi Yang, Yong Zhang 

doi : 10.1210/clinem/dgab171

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2639–e2646

Prepregnancy overweight/obesity (OWO) and isolated maternal hypothyroxinemia (IMH) may increase the risk of macrosomia, but little is known about their potential combined effect on macrosomia.

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Relationship Between Maternal Bone Biomarkers and Fetal Adiposity Through Normal Pregnancy 

George Mastorakos, Dimosthenis Maliopoulos, Spyridoula Kasioni, Alexandra Bargiota, Thomas M Barber

doi : 10.1210/clinem/dgab152

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2647–e2655

To examine the association of maternal bone markers [sclerostin, soluble receptor activator of nuclear factor-?B ligand (sRANKL), osteocalcin, 25-hydroxyvitamin D3] with fetal intra-abdominal and subcutaneous adipose tissue deposition and birthweight during normal pregnancy.

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Primary Ovarian Insufficiency in Women With Addison’s Disease 

Elinor C Vogt, Lars Breivik, Ellen C R?yrvik, Marianne Grytaas, Eystein S Husebye

doi : 10.1210/clinem/dgab140

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2656–e2663

Primary ovarian insufficiency (POI) is defined by menopause before 40 years of age. POI prevalence is higher among women with autoimmune Addison’s disease (AAD) than in the general population, but their clinical characteristics are insufficiently studied.

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Serum Insulin-like Factor 3 Levels Are Reduced in Former Androgen Users, Suggesting Impaired Leydig Cell Capacity 

Jon Jarl?v Rasmussen, Jakob Albrethsen, Mikkel Nicklas Frandsen, Niels J?rgensen, Anders Juul

doi : 10.1210/clinem/dgab129

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2664–e2672

Illicit use of anabolic androgenic steroids (AAS) is frequently observed in men and is associated with subsequent testosterone deficiency although the long-term effect on gonadal function is still unclear. Serum insulin-like factor 3 (INSL3) has been suggested to be a superior biomarker of Leydig cell secretory capacity compared to testosterone.

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Biochemical Parameters of Diabetes Ketoacidosis in Patients with End-stage Kidney Disease and Preserved Renal Function 

Rodolfo J Galindo, Francisco J Pasquel, Priyathama Vellanki, Cesar Zambrano, Bonnie Albury 

doi : 10.1210/clinem/dgab126

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2673–e2679

Differences in biochemical parameters of diabetic ketoacidosis in patients with end-stage kidney disease (ESKD) has not been established. Accordingly, we assessed the relationship between degree of metabolic acidosis and ?-hydroxybutyrate in patients with ESKD (eGFR < 15 mL/min/1.73 m2), moderate renal failure (eGFR 15–60), or preserved renal function (eGFR > 60).

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Unmet Information Needs Among Hispanic Women with Thyroid Cancer 

Debbie W Chen, David Reyes-Gastelum, Sarah T Hawley, Lauren P Wallner, Ann S Hamilton 

doi : 10.1210/clinem/dgab128

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2680–e2687

To determine the relationship between acculturation level and unmet information needs among Hispanic women with thyroid cancer.

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Identification of Circulating hsa_circ_0063425 and hsa_circ_0056891 as Novel Biomarkers for Detection of Type 2 Diabetes 

Ya-Ke Lu, Xi Chu, Shuo Wang, Yue Sun, Jie Zhang ...

doi : 10.1210/clinem/dgab101

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2688–e2699

Circular RNAs (circRNAs), which are involved in the development of diseases by regulating gene expression, have become promising novel biomarkers for diseases.

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Prediction of Adult Height by Machine Learning Technique 

Michael Shmoish, Alina German, Nurit Devir, Anna Hecht, Gary Butler 

doi : 10.1210/clinem/dgab093

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2700–e2710

Prediction of AH is frequently undertaken in the clinical setting. The commonly used methods are based on the assessment of skeletal maturation. Predictive algorithms generated by machine learning, which can already automatically drive cars and recognize spoken language, are the keys to unlocking data that can precisely inform the pediatrician for real-time decision making.

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A High Proportion of Novel ACAN Mutations and Their Prevalence in a Large Cohort of Chinese Short Stature Children 

Li Lin, Mengting Li, Jingsi Luo, Pin Li, Shasha Zhou 

doi : 10.1210/clinem/dgab088

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2711–e2719

Aggrecan, encoded by the ACAN gene, is the main proteoglycan component in the extracellular cartilage matrix. Heterozygous mutations in ACAN have been reported to cause idiopathic short stature. However, the prevalence of ACAN pathogenic variants in Chinese short stature patients and clinical phenotypes remain to be evaluated.

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Acute Kidney Injury and Renal Tubular Damage in Children With Type 1 Diabetes Mellitus Onset 

Pierluigi Marzuillo, Dario Iafusco, Angela Zanfardino, Stefano Guarino, Alessia Piscopo

doi : 10.1210/clinem/dgab090

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2720–e2737

Acute kidney injury (AKI) and renal tubular damage (RTD), especially if complicated by acute tubular necrosis (ATN), could increase the risk of later chronic kidney disease. No prospective studies on AKI and RTD in children with type1diabetes mellitus (T1DM) onset are available.

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The Association of Passive Smoking and Dyslipidemia Among Adolescence in Japan: Results From A-CHILD Study 

Keitaro Miyamura, Nobutoshi Nawa, Aya Isumi, Satomi Doi, Manami Ochi

doi : 10.1210/clinem/dgab094

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2738–e2748

Passive smoking in childhood has been reported to be associated with dyslipidemia in Western countries. However, this association in Asian countries remains unclear. Further, no study has investigated the sex difference of the association.

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Elevated Apolipoprotein A1 and HDL Cholesterol Associated with Age-related Macular Degeneration: 2 Population Cohorts 

Liv Tybj?rg Nordestgaard, Anne Tybj?rg-Hansen, Ruth Frikke-Schmidt, B?rge Gr?nne Nordestgaard

doi : 10.1210/clinem/dgab095

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2749–e2758

To enable prevention and treatment of age-related macular degeneration (AMD), understanding risk factors for AMD is important.

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Increased Mortality Risk in Patients With Primary and Secondary Adrenal Insufficiency 

Kanchana Ngaosuwan, Desmond G Johnston, Ian F Godsland, Jeremy Cox, Azeem Majeed

doi : 10.1210/clinem/dgab096

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2759–e2768

Mortality data in patients with adrenal insufficiency are inconsistent, possibly due to temporal and geographical differences between patients and their reference populations.

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Association of Parental Consanguinity With Papillary Thyroid Carcinoma: A Case-Control Study 

Ayman A Zayed, Justin Z Amarin, Abdallah T Al-Ani, Tareq L Altell, Sultan S Abdelhamid

doi : 10.1210/clinem/dgab071

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2769–e2774

Papillary thyroid carcinoma (PTC) is the most common type of nonmedullary thyroid carcinoma. Uncommonly, PTC is associated with multiple genetic alterations and chromosomal abnormalities and displays familial patterns of inheritance. Parental consanguinity increases susceptibility to many genetic disorders.

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Chinese Adults Are More Susceptible to Effects of Overall Obesity and Fat Distribution on Cardiometabolic Risk Factors 

Ruizhi Zheng, Mian Li, Min Xu, Jieli Lu, Tiange Wang 

doi : 10.1210/clinem/dgab049

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2775–e2788

The body mass index (BMI) and waist circumference (WC) as diagnostic tools of obesity do not reflect the same level of fat mass and whether obesity leads to various effects on cardiometabolic risk factors among different racial/ethnic population is unknown.

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Ehlers–Danlos Syndrome: Molecular and Clinical Characterization of TNXA/TNXB Chimeras in Congenital Adrenal Hyperplasia 

Roxana Marino, Natalia Perez Garrido, Pablo Ramirez, Guillermo Notaristéfano, Angélica Moresco 

doi : 10.1210/clinem/dgab033

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2789–e2802

The syndrome CAH-X is due to a contiguous gene deletion of CYP21A2 and TNXB resulting in TNXA/TNXB chimeras.

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Youth Along the T2D Risk Continuum Remain Concerningly Refractory to Therapeutic Interventions 

Peter M Wolfgram, Susanne M Cabrera

doi : 10.1210/clinem/dgab292

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2803–e2805

no abstract

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Brain MRI in Girls With Central Precocious Puberty: A Time for New Approaches 

Ana Pinheiro Machado Canton, Ana Claudia Latronico

doi : 10.1210/clinem/dgab293

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2806–e2808

no abstract

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Explainable Artificial Intelligence in Endocrinological Medical Research 

Bobbie-Jo M Webb-Robertson

doi : 10.1210/clinem/dgab237

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2809–e2810

no abstract

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REWIND Diabetes for Octogenarians 

Tarekegn Geberhiwot

doi : 10.1210/clinem/dgab163

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2811–e2812

no abstract

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Male Fertility After Androgenic Steroid Use: How Little We Know 

Bradley D Anawalt

doi : 10.1210/clinem/dgab236

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2813–e2815

no abstract

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Cushing “Blues” 

Alicia Santos, Susan M Webb

doi : 10.1210/clinem/dgab239

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2816–e2818

no abstract

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Statins: A New Hope on the Horizon of Graves Orbitopathy? 

Michele Marin?, Giulia Lanzolla, Claudio Marcocci

doi : 10.1210/clinem/dgab184

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2819–e2821

no abstract

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Long-term Fasting Glycemic Variability and Microvascular Complications in Type 2 Diabetes 

Pandora L Wander, Edward J Boyko

doi : 10.1210/clinem/dgab172

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2822–e2824

no abstract

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Impaired Bone Matrix: The Key to Fragility in Type 2 Diabetes? 

Christopher J Hernandez, Emily M Stein, Eve Donnelly

doi : 10.1210/clinem/dgab150

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2825–e2827

no abstract

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Endocrine Workup for Primary Aldosteronism Should Include Adrenal Venous Sampling in Young Patients 

Anders Palmstr?m J?rgensen

doi : 10.1210/clinem/dgab142

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2828–e2829

no abstract

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Uncovering the Molecular Cause of Preeclampsia—The Role of Glutathionylation of the Na+/K+ ATPase Transporter 

Fiona Claire Brownfoot

doi : 10.1210/clinem/dgab117

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2830–e2832

no abstract

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Letter to the Editor From Zhu and Briganti: “Denosumab Safety and Efficacy Among Participants in the FREEDOM Extension Study With Mild to Moderate Chronic Kidney Disease” 

Jasmine Zhu, Esther M Briganti

doi : 10.1210/clinem/dgab305

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2833–e2834

no abstract

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Letter to the Editor from Lao and Merke: “Ehlers–Danlos Syndrome: Molecular and Clirnical Characterization of TNXA/TNXB Chimeras in Congenital Adrenal Hyperplasia” 

Qizong Lao, Deborah P Merke

doi : 10.1210/clinem/dgab280

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2835–e2836

no abstract

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Response to Letter to the Editor from Lao and Merke: “Ehlers-Danlos Syndrome: Molecular and Clinical Characterization of TNXA/TNXB Chimeras in Congenital Adrenal Hyperplasia” 

Roxana Marino, Natalia Perez Garrido, Pablo Ramirez, Alicia Belgorosky

doi : 10.1210/clinem/dgab281

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2837–e2838

no abstract

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Response to Letter to the Editor from Sukor et al.: “Evaluation and Treatment of Amiodarone-induced Thyroid Disorders” 

Dorina Ylli, Leonard Wartofsky, Kenneth D Burman

doi : 10.1210/clinem/dgab105

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Pages e2839–e2840

no abstract

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Corrigendum to: “Hepatic Fat in Participants With and Without Incident Diabetes in the Diabetes Prevention Program Outcome Study” 

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doi : 10.1210/clinem/dgab332

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2841

no abstract

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Corrigendum to: “Phase 3 Trial of a Small-Volume Subcutaneous 6-Month Duration Leuprolide Acetate Treatment for Central Precocious Puberty” 

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doi : 10.1210/clinem/dgab294

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2842

no abstract

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Corrigendum to: “Testosterone Therapy in Adult Men with Androgen Deficiency Syndromes: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab306

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2843

no abstract

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Corrigendum to: “Management of Thyroid Dysfunction during Pregnancy and Postpartum: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab307

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2844

no abstract

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Corrigendum to: “Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab308

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2845

no abstract

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Corrigendum to: “Prevention and Treatment of Pediatric Obesity: An Endocrine Society Clinical Practice Guideline Based on Expert Opinion” 

empty

doi : 10.1210/clinem/dgab309

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2846

no abstract

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Corrigendum to: “Primary Prevention of Cardiovascular Disease and Type 2 Diabetes in Patients at Metabolic Risk: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab310

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2847

no abstract

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Corrigendum to: “Testosterone Therapy in Adult Men with Androgen Deficiency Syndromes: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab311

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2848

no abstract

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Corrigendum to: “Evaluation and Treatment of Adult Growth Hormone Deficiency: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab312

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2849

no abstract

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Corrigendum to: “Androgen Therapy in Women: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab313

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2850

no abstract

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Corrigendum to: “Case Detection, Diagnosis, and Treatment of Patients with Primary Aldosteronism: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab314

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2851

no abstract

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Corrigendum to: “Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab315

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2852

no abstract

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Corrigendum to: “Congenital Adrenal Hyperplasia Due to Steroid 21-Hydroxylase Deficiency: An Endocrine Society Clinical Practice Guideline” 

empty

doi : 10.1210/clinem/dgab316

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2853

no abstract

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Corrigendum to: “Glycemic Control and Variability of Diabetes Secondary to Total Pancreatectomy Assessed by Continuous Glucose Monitoring” 

empty

doi : 10.1210/clinem/dgab285

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2854

no abstract

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Corrigendum to: “Effect of Testosterone Treatment on Bone Microarchitecture and Bone Mineral Density in Men: a 2-Year RCT” 

empty

doi : 10.1210/clinem/dgab284

The Journal of Clinical Endocrinology & Metabolism, Volume 106, Issue 7, July 2021, Page e2855

no abstract

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