Analyze Diet

Topic:Hormones

Hormones in horses are chemical messengers produced by various glands and tissues, regulating numerous physiological processes essential for maintaining homeostasis. These hormones influence a wide range of functions, including growth, metabolism, reproduction, and stress responses. Key hormones in equine physiology include cortisol, estrogen, testosterone, and insulin, among others. The levels and effects of these hormones can vary based on factors such as age, sex, and environmental conditions, impacting overall health and performance. This page compiles peer-reviewed research studies and scholarly articles that explore the production, regulation, and physiological roles of hormones in equine biology.
Inter-relationships between the secretory dynamics of thyrotrophin-releasing hormone, thyrotrophin and prolactin in periovulatory mares: effect of hypothyroidism.
Journal of neuroendocrinology    December 9, 2004   Volume 16, Issue 11 906-915 doi: 10.1111/j.1365-2826.2004.01249.x
Alexander SL, Irvine CH, Evans MJ.We used our nonsurgical technique for collecting pituitary venous blood to relate the dynamics of thyrotrophin-releasing hormone (TRH) secretion to the secretion patterns of both prolactin and thyrotrophin in periovulatory mares, either euthyroid (n = 5) or made hypothyroid by treatment with propyl-thiouracil (n = 5). Pituitary venous blood was collected continuously and divided into 1-min aliquots for 4 h. To test the effect of dopamine on the relationship between secretion patterns, sulpiride, a selective D2 receptor antagonist, was given i.m. after 2 h of sampling. Thorough testing of the m...
Effects of soy isoflavones and conjugated equine estrogens on inflammatory markers in atherosclerotic, ovariectomized monkeys.
The Journal of clinical endocrinology and metabolism    December 7, 2004   Volume 90, Issue 3 1734-1740 doi: 10.1210/jc.2004-0939
Register TC, Cann JA, Kaplan JR, Williams JK, Adams MR, Morgan TM, Anthony MS, Blair RM, Wagner JD, Clarkson TB.The effects of dietary soy isoflavones (IF) and conjugated equine estrogens (CEE) on circulating inflammatory markers were determined at the end of a 3-yr study of ovariectomized monkeys consuming a moderately atherogenic diet. Treatments were: 1) control, receiving alcohol-extracted soy-protein-based diet with low IF content (comparable to approximately 5 mg/d); 2) CEE, added to the control diet at a dose comparable to 0.625 mg/d; and 3) IF, consumed as a part of unextracted soy protein isolate at a dose comparable to 129 mg/d. Serum soluble vascular cell adhesion molecule-1 (sVCAM-1) was red...
Correlation between plasma alpha-melanocyte-stimulating hormone concentration and body mass index in healthy horses.
American journal of veterinary research    November 30, 2004   Volume 65, Issue 11 1469-1473 doi: 10.2460/ajvr.2004.65.1469
Donaldson MT, McFarlane D, Jorgensen AJ, Beech J.To evaluate the correlation between plasma alpha-melanocyte-stimulating hormone (alpha-MSH) concentration and body mass index (BMI) in healthy horses. Methods: 82 healthy horses. Methods: Plasma alpha-MSH concentration was determined by radioimmunoassay. At the time blood samples were collected, body condition scores (BCS) were determined and measurements of girth circumference, body length, and height were obtained. Weight was estimated by use of the following formula: estimated weight (kg) = [girth (cm)2 x length (cm)]/11,877. Body mass index was calculated as estimated weight (kg)/height (m...
Effects of season and sample handling on measurement of plasma alpha-melanocyte-stimulating hormone concentrations in horses and ponies.
American journal of veterinary research    November 30, 2004   Volume 65, Issue 11 1463-1468 doi: 10.2460/ajvr.2004.65.1463
McFarlane D, Donaldson MT, McDonnell SM, Cribb AE.To investigate effects of sample handling, storage, and collection time and season on plasma alpha-melanocyte-stimulating hormone (alpha-MSH) concentration in healthy equids. Methods: 11 healthy Standardbreds and 13 healthy semiferal ponies. Methods: Plasma alpha-MSH concentration was measured by use of radioimmunoassay. Effects of delayed processing were accessed by comparing alpha-MSH concentrations in plasma immediately separated with that of plasma obtained from blood samples that were stored at 4 degrees C for 8 or 48 hours before plasma was separated. Effects of suboptimal handling were ...
Progestagen profiles during the last trimester of gestation in Thoroughbred mares with normal or compromised pregnancies.
Theriogenology    November 13, 2004   Volume 63, Issue 7 1844-1856 doi: 10.1016/j.theriogenology.2004.08.010
Ousey JC, Houghton E, Grainger L, Rossdale PD, Fowden AL.Progesterone (P4), pregnenolone (P5) and their metabolites are present in maternal plasma in pregnant mares. It is believed that one of these progestagens may maintain myometrial quiescence. The aims of this study were to identify specific progestagens in pregnant mares' plasma and determine whether these differed between mares with healthy or compromised pregnancies. Jugular blood samples were collected between 243 and 351 days gestation from 19 healthy Thoroughbred mares and 14 mares with placental pathology, including placentitis, and other clinical problems (uterine torsion/rupture, colic,...
Use of parentage testing to determine optimum insemination time and culture media for oocyte transfer in mares.
Reproduction (Cambridge, England)    October 29, 2004   Volume 128, Issue 5 623-628 doi: 10.1530/rep.1.00207
Carnevale EM, Coutinho da Silva MA, Maclellan LJ, Seidel GE, Squires EL.Parentage identification was used to test the developmental competence of oocytes cultured under different conditions and fertilized in vivo after oocyte transfer. Oocytes were collected transvaginally from follicles of estrous mares approximately 22 h after administration of human chorionic gonadotropin. Oocytes were cultured for approximately 16 h in one of three media, with or without addition of hormones and growth factors. Groups of three or four oocytes, cultured in different media, were transferred into the oviduct contralateral to a recipient's own ovulation. Recipients were inseminate...
Esterified estrogens and conjugated equine estrogens and the risk of venous thrombosis.
JAMA    October 7, 2004   Volume 292, Issue 13 1581-1587 doi: 10.1001/jama.292.13.1581
Smith NL, Heckbert SR, Lemaitre RN, Reiner AP, Lumley T, Weiss NS, Larson EB, Rosendaal FR, Psaty BM.Clinical trial evidence indicates that estrogen therapy with or without progestins increases venous thrombotic risk. The findings from these trials, which used oral conjugated equine estrogens, may not be generalizable to other estrogen compounds. Objective: To compare risk of venous thrombosis among esterified estrogen users, conjugated equine estrogen users, and nonusers. Methods: This population-based, case-control study was conducted at a large health maintenance organization in Washington State. Cases were perimenopausal and postmenopausal women aged 30 to 89 years who sustained a first v...
Immunoexpression of androgen receptors in testes of immature and mature stallions.
Equine veterinary journal    October 6, 2004   Volume 36, Issue 6 539-543 doi: 10.2746/0425164044877305
Bilińska B, Hejmej A, Pawlak M, Sadowska J, Tischner M.No abstract available
Onset of puberty in pasture-raised Thoroughbreds born in southern hemisphere spring and autumn.
Equine veterinary journal    October 6, 2004   Volume 36, Issue 6 499-504 doi: 10.2746/0425164044877422
Brown-Douglas CG, Firth EC, Parkinson TJ, Fennessy PF.There is little information on age, weight and time of year of puberty in Thoroughbred horses, and the interpretation of such data is difficult due to the wide variety of descriptions of the onset of puberty. Objective: To examine the age, bodyweight and date of onset of puberty in Thoroughbreds born in spring and autumn. Methods: Bodyweight data and blood samples were collected in 59 pasture-raised Thoroughbred horses. Five autumn-born and 18 spring-born colts and 3 autumn-born and 33 spring-born fillies were examined from birth to age 13 and 17 months. A testosterone concentration >2 s.d. ab...
Interrelationships among follicles during the common-growth phase of a follicular wave and capacity of individual follicles for dominance in mares.
Reproduction (Cambridge, England)    September 30, 2004   Volume 128, Issue 4 417-422 doi: 10.1530/rep.1.00259
Gastal EL, Gastal MO, Beg MA, Ginther OJ.The changing diameter interrelationships among follicles during the interval from emergence to deviation (common-growth phase) were studied in 59 mares. All follicles of > or =6.0 mm were ablated 10 days after ovulation. The four largest follicles of the postablation wave were ranked D1, D2, D3 and D4 at the expected beginning of deviation (D1 > or = 20.0 mm), according to descending diameter. The four follicles were also ranked independently, according to order of emergence at 6.0-6.9 mm as E1 (first to emerge), E2, E3 and E4. The follicles emerged during 1.3 +/- 0.1 to 3.1 +/- 0.1 days...
Clinical use of twice daily injections of buserelin acetate to induce ovulation in the mare.
Veterinary research communications    September 18, 2004   Volume 28 Suppl 1 169-172 doi: 10.1023/b:verc.0000045398.62134.e4
Camillo F, Pacini M, Panzani D, Vannozzi I, Rota A, Aria G.No abstract available
Proteolytic degradation of IGF-binding protein (IGFBP)-2 in equine ovarian follicles: involvement of pregnancy-associated plasma protein-A (PAPP-A) and association with dominant but not subordinated follicles.
The Journal of endocrinology    September 8, 2004   Volume 182, Issue 3 457-466 doi: 10.1677/joe.0.1820457
Gérard N, Delpuech T, Oxvig C, Overgaard MT, Monget P.In the ovary of mammalian species, terminal follicular growth is accompanied by a decrease in intrafollicular levels of IGF-binding protein-2 (IGFBP-2) and IGFBP-4. The decrease in IGFBP-4 levels is essentially due to an increase in proteolytic cleavage by intrafollicular pregnancy-associated plasma protein-A (PAPP-A) in growing healthy follicles. The decrease in IGFBP-2 levels is partly due to a decrease in mRNA expression by follicular cells. In addition, we have recently shown that IGFBP-2 is also proteolytically cleaved by PAPP-A in bovine and porcine growing follicles. In the present work...
Influence of fasting and exercise on the daily rhythm of serum leptin in the horse.
Chronobiology international    August 31, 2004   Volume 21, Issue 3 405-417 doi: 10.1081/cbi-120038609
Piccione G, Bertolucci C, Foà A, Caola G.The hormone leptin is secreted by white adipocytes and regulates food intake and energy expenditure in rodents and humans. The goal of the present study was to investigate the existence of a daily rhythm of serum leptin in horses and its dependence on fasting and physical exercise. A robust daily rhythm of leptin was found in both athletic and sedentary horses, with a daytime trough and a peak in the dark phase. While physical exercise never induced changes in circulating leptin, fasting reliably affected serum leptin levels. Food deprivation did not abolish the daily rhythm of serum leptin, b...
Insulin-like growth factors-I and -II and insulin-like growth factor-binding protein-2 in dominant equine follicles during spring transition and the ovulatory season.
Reproduction (Cambridge, England)    August 31, 2004   Volume 128, Issue 3 321-329 doi: 10.1530/rep.1.00100
Watson ED, Bae SE, Thomassen R, Thomson SR, Woad K, Armstrong DG.The period between seasonal anoestrus and cyclicity is characterized in many mares by cyclical growth and regression of large dominant follicles. The insulin-like growth factor (IGF) system plays a key role in follicular growth and regression; therefore, we hypothesized that changes in the IGF system and its binding proteins would modulate onset of cyclicity in mares. Ovaries were obtained from pony mares on the day after detection of an actively growing 30 mm transitional anovulatory follicle, and also at the second or third oestrus of the breeding season on the day after the preovulatory fol...
Effect of teasing, mechanical stimulation and the intrauterine infusion of saline on uterine contractions in mares.
The Veterinary record    August 27, 2004   Volume 155, Issue 4 103-110 doi: 10.1136/vr.155.4.103
Campbell ML, England GC.Uterine motility may have significance for the transportation of spermatozoa and the elimination of the ejaculate and inflammatory products after mares have been covered. The effect of some of the component stimuli of coitus on uterine contractions was investigated by using M-mode ultrasound. The number, amplitude and duration of the uterine contractions of each uterine horn and of the uterine body were measured in oestrous mares for four minutes before and four minutes after teasing by a stallion, mechanical stimulation of the vagina and cervix, the intrauterine infusion of 80 ml of sterile s...
Development of a model for inducing transient insulin resistance in the mare: preliminary implications regarding the estrous cycle.
Journal of animal science    August 21, 2004   Volume 82, Issue 8 2321-2328 doi: 10.2527/2004.8282321x
Sessions DR, Reedy SE, Vick MM, Murphy BA, Fitzgerald BP.Peripheral insulin resistance is the failure of proper cellular glucose uptake in response to insulin. Insulin resistance and hyperinsulinemia are associated with several disease states in the horse and reproductive function disturbances in humans, including polycystic ovarian syndrome. To test the hypothesis that insulin resistance (IR) and hyperinsulinemia disrupt the estrous cycle in mares, two experiments were conducted to first develop a model to induce IR and to then examine the effect of this model on the duration of the estrous cycle. In Exp. 1, a hyperinsulinemic-euglycemic clamp (HEC...
The association between heart rate, heart rate variability, endocrine and behavioural pain measures in horses suffering from laminitis.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    August 19, 2004   Volume 51, Issue 5 218-225 doi: 10.1111/j.1439-0442.2004.00627.x
Rietmann TR, Staᆲher M, Bernasconi P, Auer JA, Weishaupt MA.The objective of this study was to compare the stress response of horses suffering from laminitis after short- and long-term treatment with the intent to evaluate power spectral analysis of heart rate variability (HRV) for pain monitoring. Data were collected from 19 horses with acute or chronic exacerbating laminitis without known primary disease before and after treatment with non-steroidal anti-inflammatory drugs (NSAID). Recordings were carried out the day after admission to the equine hospital. Measurements were repeated on day 7 of the treatment. The recorded parameters included a clinic...
Expression of the full-length and alternatively spliced equine luteinizing hormone/chorionic gonadotropin receptor mRNAs in the primary corpus luteum and fetal gonads during pregnancy.
Reproduction (Cambridge, England)    July 29, 2004   Volume 128, Issue 2 219-228 doi: 10.1530/rep.1.00164
Saint-Dizier M, Chopineau M, Dupont J, Combarnous Y.The full-length equine luteinizing hormone/chorionic gonadotropin (LH/CG) receptor (eLH/CG-RA) cDNA and two alternatively spliced isoforms (eLH/CG-RB,C) were isolated from luteal tissue and characterized using a combination of reverse transcription-polymerase chain reaction (RT-PCR) and 5'-rapid amplification of cDNA ends. The 680-amino acid full sequence of eLH/CG-RA displayed 87-92% homology with other mammalian LH/CG-Rs. The eLH/CG-RB and eLH/CG-RC cDNA isoforms were truncated from the 3'-end of exon X: eLH/CG-RB spliced out of frame into the last exon whereas eLH/CG-RC contained an in-fram...
Suppressing reproductive activity in horses using GnRH vaccines, antagonists or agonists.
Animal reproduction science    July 24, 2004   Volume 82-83 633-643 doi: 10.1016/j.anireprosci.2004.04.009
Stout TA, Colenbrander B.There are a number of situations in which it is desirable to suppress part or all of the reproductive endocrine system in a horse, notably the competing animal whose tractability during training, or performance during competition, is compromised by the expression of sexual or aggressive behavior. The current therapeutic approaches to reproductive endocrine suppression include gonadectomy and progestagen administration, where the former carries surgical risks and entails irreversible loss of breeding potential, and effective progestagen therapy requires frequent administration for extended peri...
Effects of a new injectable short-term release deslorelin in foal-heat mares.
Theriogenology    July 15, 2004   Volume 62, Issue 5 831-836 doi: 10.1016/j.theriogenology.2003.12.004
Stich KL, Wendt KM, Blanchard TL, Brinsko SP.Mares treated with subcutaneous deslorelin implants on the first postpartum estrus early in the breeding season had significant reductions in the number of large follicles at early pregnancy examinations and delayed return to estrus (in mares that failed to become pregnant); these adverse effects were attributed to a prolonged release of the drug from the implant. In 2003, an injectable short-term release (<24 h) deslorelin product became available. The objective of this study was to determine if this product would hasten ovulation in early foaling first postpartum estrus mares without reducin...
Kinetic studies and production rate of equine (e) FSH in ovariectomized pony mares. Application to the determination of a dosage regimen for eFSH in a superovulation treatment.
The Journal of endocrinology    July 1, 2004   Volume 182, Issue 1 43-54 doi: 10.1677/joe.0.1820043
Briant C, Toutain PL, Ottogalli M, Magallon T, Guillaume D.The appropriate dosage regimen for equine FSH (eFSH) (dose, dosing interval) administration in a superovulation treatment in pony mares was determined by a kinetic approach using production rates and kinetic parameters of elimination of the hormone. Two dosage regimens were then tested in superovulation protocols. The eFSH production rates were determined by sampling four ovariectomized pony mares every 10 min for 8 h during the breeding season. Kinetic parameters were determined by administering four dose levels of a preparation of eFSH (4.4, 8.8, 17.6 and 35.2 micro g/kg) by the i.v. route t...
Peripartal endocrinology in the mare and foetus.
Reproduction in domestic animals = Zuchthygiene    July 1, 2004   Volume 39, Issue 4 222-231 doi: 10.1111/j.1439-0531.2004.00507.x
Ousey JC.The endocrine profiles in the periparturient mares are dominated by increasing concentrations of progestagens and decreasing oestrogens. These hormones are produced by precursors from the foetus, metabolized by the placenta and act primarily on the maternal uterus. The circulating concentrations of hormones in maternal plasma, generally, represent a small proportion of those metabolized by the foetus and utero-placental tissues. There is clear evidence that the foetal hypothalamo-pituitary-adrenal (HPA) axis initiates the process of foetal maturation and the hormonal cascade which culminates i...
Attempt to control the day of ovulation in cycling pony mares by associating a GnRH antagonist with hCG.
Domestic animal endocrinology    June 29, 2004   Volume 27, Issue 2 165-178 doi: 10.1016/j.domaniend.2004.03.004
Briant C, Ottogalli M, Guillaume D.With the objective of controlling the day of ovulation, 40 mares were assigned to a control or three treated groups: A3d, A4d, and A5d. The treated groups received antarelix (Teverelix 0.01 mg/kg, i.v., twice a day) for 3, 4, or 5 days from the day the dominant follicle (F1) reached 28 mm (=D0), and one injection of hCG (1600 IU, i.v.) on D1, D2, or D3, respectively. Control mares received one injection of hCG when F1 reached 35 mm. Plasma LH, FSH, progesterone, and total estrogens were assayed. In the A3d, A4d, and A5d groups, 9 (90%), 6 (60%), and 5 (50%) out of 10 mares, respectively, ovula...
Cumulus expansion, nuclear maturation and connexin 43, cyclooxygenase-2 and FSH receptor mRNA expression in equine cumulus-oocyte complexes cultured in vitro in the presence of FSH and precursors for hyaluronic acid synthesis.
Reproductive biology and endocrinology : RB&E    June 22, 2004   Volume 2 44 doi: 10.1186/1477-7827-2-44
Dell'Aquila ME, Caillaud M, Maritato F, Martoriati A, Gérard N, Aiudi G, Minoia P, Goudet G.The aim of this study was to investigate cumulus expansion, nuclear maturation and expression of connexin 43, cyclooxygenase-2 and FSH receptor transcripts in equine cumuli oophori during in vivo and in vitro maturation in the presence of equine FSH (eFSH) and precursors for hyaluronic acid synthesis. Equine cumulus-oocyte complexes (COC) were cultured in a control defined medium supplemented with eFSH (0 to 5 micrograms/ml), Fetal Calf Serum (FCS), precursors for hyaluronic acid synthesis or glutamine according to the experiments. After in vitro maturation, the cumulus expansion rate was incr...
Identification of amino-acids in the alpha-subunit first and third loops that are crucial for the heterospecific follicle-stimulating hormone activity of equid luteinizing hormone/choriogonadotropin.
European journal of endocrinology    June 12, 2004   Volume 150, Issue 6 877-884 doi: 10.1530/eje.0.1500877
Chopineau M, Martinat N, Gibrat JF, Galet C, Lecompte F, Foulon-Gauze F, Pourchet C, Guillou F, Combarnous Y.To identify amino-acids in the alpha-subunit important for expression of heterospecific FSH activity of horse (e) LH/choriogonadotropin (CG) (eLH) and donkey (dk) LH/CG (dkLH) (FSH/LH ratio ten times higher for eLH than for dkLH); this FSH activity absolutely requires an equid (donkey or horse) alpha-subunit combined with an equid beta-LH subunit. Methods: Chimeric alpha-subunits possessing the first 63 amino-acids of the porcine (p) and the last 33 amino-acids of the donkey alpha-subunit (alphap-dk) and the inverse (alphadk-p) were constructed. Porcine-specific amino-acids were introduced by ...
Effects of trimethoprim-sulfadiazine on thyroid function of horses.
Journal of veterinary internal medicine    June 11, 2004   Volume 18, Issue 3 370-373 doi: 10.1892/0891-6640(2004)18<370:eototf>2.0.co;2
Rothschild CM, Hines MT, Breuhaus B, Gay J, Sellon DC.Trimethoprim-sulfadiazine was administered to horses in a randomized, placebo controlled study to determine the effects of potentiated sulfonamides on thyroid function in normal horses. The treatment group included eight horses that received trimethoprim-sulfadiazine mixed with molasses orally at 30 mg/kg once daily for eight weeks. The control group included 8 horses that received an oral placebo (flour mixed with molasses) once daily for the same period. Thyroid function was evaluated prior to initiation of treatment and after 8 weeks of treatment. Serum concentrations of total and free trii...
Comparative study of the dynamics of follicular waves in mares and women.
Biology of reproduction    June 9, 2004   Volume 71, Issue 4 1195-1201 doi: 10.1095/biolreprod.104.031054
Ginther OJ, Gastal EL, Gastal MO, Bergfelt DR, Baerwald AR, Pierson RA.Deviation in growth rates of the follicles of the ovulatory wave begins at the end of a common growth phase and is characterized by continued growth of the developing dominant follicle (F1) and regression of the largest subordinate follicle (F2). Follicle diameters during an interovulatory interval were compared between 30 mares and 30 women, using similar methods for collecting and analyzing data. Follicles were tracked and measured daily by ultrasonography. Diameter at follicle emergence (mares, 13 mm; women, 6 mm) and the required minimal attained diameter for assessment of follicles (mares...
Follicle profile and plasma gonadotropin concentration in pubertal female ponies.
Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas    May 27, 2004   Volume 37, Issue 6 913-922 doi: 10.1590/s0100-879x2004000600018
Nogueira GP.Twelve female ponies were examined daily for 30 days and classified as ovulating (OV; N = 6; 197 +/- 6 kg) or prepubertal (PP; N = 6; 196 +/- 9 kg). Follicles were detected by ultrasound and gonadotropins quantified by radioimmunoassay. The mean diameter of the largest follicles was significantly larger in OV (38 +/- 1 mm) than in PP (26 +/- 2 mm) but there was no difference between groups in the size of the second largest follicle. There were more small follicles (29 mm than the OV fillies. Follicle-stimulating hormone (FSH) levels did not differ between groups but PP fillies had lower lutein...
Deslorelin on Day 8 or 12 postovulation does not luteinize follicles during an artificially maintained diestrous phase in the mare.
Theriogenology    May 26, 2004   Volume 62, Issue 1-2 57-64 doi: 10.1016/j.theriogenology.2003.07.024
Glazar BS, McCue PM, Bruemmer JE, Squires EL.Practical estrus synchronization schemes are needed for mares. The Ovsynch synchronization protocol for cattle involves the administration of gonadotropin-releasing hormone (GnRH) to induce ovulation or luteinization of dominant follicles during the luteal phase and prostaglandin 7 days later to cause regression of any luteal tissue and development of a preovulatory follicle. An Ovsynch-type synchronization program potentially could be developed for horses if luteinization or ovulation of diestrous follicles occurred in response to GnRH treatment. The objective of this study was to determine i...
Serum insulin concentrations in horses with equine Cushing’s syndrome: response to a cortisol inhibitor and prognostic value.
Equine veterinary journal    May 19, 2004   Volume 36, Issue 3 295-298 doi: 10.2746/0425164044877288
McGowan CM, Frost R, Pfeiffer DU, Neiger R.Serum insulin concentration and its use as a prognostic indicator in horses with equine Cushing's syndrome (ECS) have been poorly documented. Objective: To examine daily insulin variations in horses with ECS and the effect of treatment using trilostane, a competitive inhibitor of 3beta-hydroxysteroid dehydrogenase. Further, we aimed to examine the relationship between baseline serum insulin concentration and survival in horses with ECS. Methods: Basal serum insulin concentrations were measured in 20 confirmed ECS cases by taking blood at regular 4 h intervals for 24 h (1200, 1600, 2000, 2400, ...
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