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Indeed, epicardial adipose tissue thickness, considered a surrogate marker of visceral fat and a novel cardiovascular risk indicator, has been recently discovered to be higher in patients with prolactinoma as compared to healthy controls, even if similar cardiac systolic and diastolic functions were observed between the two groups (58)

Strategies to mitigate risks: Screen patients for autoimmune disease and previous peptide exposures

If there is insufficient choline stored in the body, the ability to methylate homocysteine to make methionine decreases, and plasma concentrations of homocysteine increase

Schwartz S, et al