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NAFLD is common in those with T2DM even with normal liver enzymes, so its often hiding in plain sight, putting them at a higher risk for progression

Tryptophan metabolism and related pathways in psychoneuroimmunology: the impact of nutrition and lifestyle
Figure 13: Gout of the Distal Finger Joints

TRT does not usually make you lazy, but some men do feel tired, flat, unmotivated, or less driven after starting testosterone therapy
