The authors personal long-term experience with a number of patients with MTC and lymph node metastasis without evidence of metastatic disease 5 to 30 years following surgery (78,98,99) provide a compelling argument that patients with local metastatic disease can be cured by lymph node dissection (100,101,102)
While a direct link has not been proven, awareness of possible interactions and the effects of weight loss on hormones helps in making informed decisions for patient safety
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This dual effect makes it a promising candidate for muscle growth and metabolic improvement, especially in populations with lipodystrophy (a group of disorders that affect how the body stores fat) or sarcopenia (age-related muscle loss) (15)