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While the arsenic exposure was the root cause of his symptoms, it is unclear how his multiple PED use exacerbated or hastened his ultimately fatal condition

Oxidative stress may contribute to processes involved in cardiovascular disease, including endothelial dysfunction, LDL oxidation, inflammation, mitochondrial injury, and plaque formation

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doi: 10.1001/jama.279.20.1613

The comparison is therefore not about which stimulates more GH, but about how much off-target endocrine activity a research design can tolerate.