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As a result, the heart pump becomes weak, fluids back up in the system, the lungs fill with fluid making it hard to breath, ankles swell, and other problems occur
First, the observational nature of this study prevents us from establishing definitive causal relationships, and unmeasured confounders such as lifestyle factors, psychological conditions, or socioeconomic status could have influenced the results
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Furthermore, GHD may occur as isolated GHD or with multiple pituitary hormone deficiencies
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