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[DOI] [PMC free article] [PubMed] [Google Scholar] 114.Marsico F., Paolillo S., Gargiulo P., Bruzzese D., Dell'Aversana S., Esposito I

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Observational studies have associated alterations in cortisol patterns, such as flattened diurnal curves or elevated evening levels, with obesity, metabolic syndrome, and cardiovascular risk, though these findings do not establish causality

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