Analyze Diet

Topic:Metabolism

Equine metabolism encompasses the biochemical processes that occur within horses to maintain life, including the conversion of food into energy, the synthesis of necessary compounds, and the elimination of waste products. These processes are essential for supporting various physiological functions such as growth, reproduction, and physical performance. Key components of equine metabolism include carbohydrate, fat, and protein metabolism, each of which contributes to the overall energy balance and health of the horse. Factors influencing metabolic rate and efficiency in horses include age, breed, diet, exercise, and health status. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, regulation, and implications of metabolic processes in equine physiology.
A review of designer anabolic steroids in equine sports.
Drug testing and analysis    November 18, 2016   Volume 9, Issue 9 1304-1319 doi: 10.1002/dta.2112
Waller CC, McLeod MD.In recent years, the potential for anabolic steroid abuse in equine sports has increased due to the growing availability of designer steroids. These compounds are readily accessible online in 'dietary' or 'nutritional' supplements and contain steroidal compounds which have never been tested or approved as veterinary agents. They typically have unusual structures or substitution and as a result may pass undetected through current anti-doping screening protocols, making them a significant concern for the integrity of the industry. Despite considerable focus in human sports, until recently there ...
Hormonal, metabolic and physiological effects of laparoscopic surgery using a detomidine-buprenorphine combination in standing horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 71-79 doi: 10.1046/j.1467-2995.2003.00097.x
Van Dijk P, Lankveld D, Rijkenhuizen A, Jonker FH.To assess the hormonal, metabolic and physiological effects of laparascopic surgery performed under a sedative analgesic combination of detomidine and buprenorphine in standing horses. Methods: Prospective study. Methods: Eight healthy adult Dutch Warmblood horses and five healthy adult ponies undergoing laparoscopy were studied. Five healthy adult horses not undergoing laparoscopy were used as a control group. Methods: The sedative effect of an initial detomidine and buprenorphine injection was maintained using a continuous infusion of detomidine alone. The heart and respiratory rate, arteria...
Hormonal, metabolic and physiological effects of laparoscopic surgery using a detomidine-buprenorphine combination in standing horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 71-79 doi: 10.1046/j.1467-2995.2003.00097.x
Van Dijk P, Lankveld D, Rijkenhuizen A, Jonker FH.To assess the hormonal, metabolic and physiological effects of laparascopic surgery performed under a sedative analgesic combination of detomidine and buprenorphine in standing horses. Methods: Prospective study. Methods: Eight healthy adult Dutch Warmblood horses and five healthy adult ponies undergoing laparoscopy were studied. Five healthy adult horses not undergoing laparoscopy were used as a control group. Methods: The sedative effect of an initial detomidine and buprenorphine injection was maintained using a continuous infusion of detomidine alone. The heart and respiratory rate, arteria...
Plasma insulin concentration increases linearly with body condition in Icelandic horses.
Acta veterinaria Scandinavica    November 9, 2016   Volume 58, Issue 1 76 doi: 10.1186/s13028-016-0258-8
Jansson A, Stéfansdóttir GJ, Ragnarsson S.This study investigated the variation in plasma insulin concentration (PIC) in a group of Icelandic horses in training, considered to be healthy and examined possible relationships between PIC and gender, age, body size, body condition score and management factors such as feed allowance and subjective level of fitness. Results: Plasma insulin concentration ranged from 0.2 to 13.9 mU/l, body condition score from 2.3 to 4.0 and concentrate allowance from 0 to 4 kg. There was a significant effect of concentrate allowance (P = 0.0007) and body condition score (P = 0.004) on PIC. For every 1...
Catecholamine Metabolism in a Shetland Pony with Suspected Pheochromocytoma and Pituitary Pars Intermedia Dysfunction.
Journal of veterinary internal medicine    November 7, 2016   Volume 30, Issue 6 1872-1878 doi: 10.1111/jvim.14606
Fouché N, Gerber V, Gorgas D, Marolf V, Grouzmann E, van der Kolk JH, Navas de Solis C.No abstract available
Modulating effects of exercise training regimen on skeletal muscle properties in female polo ponies.
BMC veterinary research    November 4, 2016   Volume 12, Issue 1 245 doi: 10.1186/s12917-016-0874-6
Chanda M, Srikuea R, Cherdchutam W, Chairoungdua A, Piyachaturawat P.The match play patterns in equestrian polo are unique and require specific training programs to ensure sport performance. The effect of commonly used exercise training regimens on the adaptation of skeletal muscle is unclear. The present study investigated the modulating effects of the classic training regimen, comprised of aerobic exercise training with increasing exercise intensities and varying duration combined with match play, on the properties of muscle in polo ponies. Nine healthy adult female polo ponies were subjected to four consecutive subsets of 1 year classic training regimen incl...
Glucocorticoid metabolism in equine follicles and oocytes.
Domestic animal endocrinology    October 29, 2016   Volume 59 11-22 doi: 10.1016/j.domaniend.2016.10.004
Scarlet D, Ille N, Ertl R, Alves BG, Gastal GDA, Paiva SO, Gastal MO, Gastal EL, Aurich C.The objective of this study was to determine whether (1) systemic and intrafollicular cortisol concentrations in horses are directly related and (2) supraphysiological levels of glucocorticoids affect in vitro maturation (IVM) rates of oocytes. Specifically, we studied the (1) changes in the intrafollicular cortisol and progesterone in context with granulosa cell gene expression during maturation of equine follicles (from 5-9 mm, 10-14 mm, 15-19 mm, 20-24 mm, and ≥25 mm in diameter) and (2) effects of cortisol supplementation on IVM rates and gene expression of equine cumulus-oocyte comple...
Diet-Dependent Modular Dynamic Interactions of the Equine Cecal Microbiota.
Microbes and environments    October 21, 2016   Volume 31, Issue 4 378-386 doi: 10.1264/jsme2.ME16061
Kristoffersen C, Jensen RB, Avershina E, Austbø D, Tauson AH, Rudi K.Knowledge on dynamic interactions in microbiota is pivotal for understanding the role of bacteria in the gut. We herein present comprehensive dynamic models of the horse cecal microbiota, which include short-chained fatty acids, carbohydrate metabolic networks, and taxonomy. Dynamic models were derived from time-series data in a crossover experiment in which four cecum-cannulated horses were fed a starch-rich diet of hay supplemented with barley (starch intake 2 g kg body weight per day) and a fiber-rich diet of only hay. Cecal contents were sampled via the cannula each h for 24 h for both die...
Glycaemic and insulinemic response to dietary carbohydrates in horses.
Acta veterinaria Scandinavica    October 20, 2016   Volume 58, Issue Suppl 1 69 doi: 10.1186/s13028-016-0244-1
Brøkner C, Austbø D, Næsset JA, Blache D, Knudsen KE, Hansen HH, Tauson AH.Dietary sugar and starch affect plasma glucose and insulin concentrations. Little information is available about the effect of dietary fibre on plasma glucose and insulin concentration. It is hypothesized that different dietary fibre compositions will alter post-prandial glycaemic- and insulinemic index of test meals. The objective was to measure postprandial glucose and insulin concentrations in horses fed meals of different fibre compositions. Methods: Blood was drawn via jugular vein puncture and the glycaemic and insulinemic index were calculated. Results: The meal effect on glycaemic and ...
Nitrite coordination in myoglobin.
Journal of inorganic biochemistry    October 14, 2016   Volume 166 49-54 doi: 10.1016/j.jinorgbio.2016.10.002
Ioannou A, Lambrou A, Daskalakis V, Pinakoulaki E.The coordination of nitrite in myoglobin (Mb) has been characterized by resonance Raman spectroscopy and the frequencies of the nitrite bound to the heme Fe as well to the 2-vinyl have been computed by density functional theory (DFT) calculations. The DFT Natural Bond Orbital (NBO) analysis and the extensive isotope-labeling in the resonance Raman experiments indicate that NO (O1NO2) is bound to the heme Fe via O1. Based on the vibrational characterization of the reversible transition between low and high spin FeONO/2-nitrovinyl species, we suggest that the key step that triggers the spin-chan...
Isolated effects of external bath osmolality, solute concentration, and electrical charge on solute transport across articular cartilage.
Medical engineering & physics    October 6, 2016   Volume 38, Issue 12 1399-1407 doi: 10.1016/j.medengphy.2016.09.003
Pouran B, Arbabi V, Zadpoor AA, Weinans H.The metabolic function of cartilage primarily depends on transport of solutes through diffusion mechanism. In the current study, we use contrast enhanced micro-computed tomography to determine equilibrium concentration of solutes through different cartilage zones and solute flux in the cartilage, using osteochondral plugs from equine femoral condyles. Diffusion experiments were performed with two solutes of different charge and approximately equal molecular weight, namely iodixanol (neutral) and ioxaglate (charge=-1) in order to isolate the effects of solute's charge on diffusion. Furthermore,...
Pharmacokinetics of dextromethorphan and its metabolites in horses following a single oral administration.
Drug testing and analysis    October 3, 2016   Volume 9, Issue 6 880-887 doi: 10.1002/dta.2060
Corado CR, McKemie DS, Knych HK.Dextromethorphan is an N-methyl-D-aspartate (NMDA) non-competitive antagonist commonly used in human medicine as an antitussive. Dextromethorphan is metabolized in humans by cytochrome P450 2D6 into dextrorphan, which is reported to be more potent than the parent compound. The goal of this study is to describe the metabolism of and determine the pharmacokinetics of dextromethorphan and its major metabolites following oral administration to horses. A total of 23 horses received a single oral dose of 2 mg/kg. Blood samples were collected at time 0 and at various times up to 96 h post drug ad...
Equine hepatocytes: isolation, cryopreservation, and applications to in vitro drug metabolism studies.
Pharmacology research & perspectives    September 30, 2016   Volume 4, Issue 5 e00268 doi: 10.1002/prp2.268
Shibany KA, Tötemeyer S, Pratt SL, Paine SW.Despite reports of the successful isolation of primary equine hepatocytes, there are no published data regarding the successful cryopreservation of these isolated cells. In this study, a detailed description of the procedures for isolation, cryopreservation, and recovery of equine hepatocytes are presented. Furthermore, the intrinsic clearance (Cl) and production of metabolites for three drugs were compared between freshly isolated and recovered cryopreserved hepatocytes. Primary equine hepatocytes were isolated using a two-step collagenase perfusion method, with an average cell yield of 2.47...
Rosiglitazone Improves Stallion Sperm Motility, ATP Content, and Mitochondrial Function.
Biology of reproduction    September 28, 2016   Volume 95, Issue 5 107 doi: 10.1095/biolreprod.116.142687
Swegen A, Lambourne SR, Aitken RJ, Gibb Z.Media used for equine sperm storage often contain relatively high concentrations of glucose, even though stallion spermatozoa preferentially utilize oxidative phosphorylation (OXPHOS) over glycolysis to generate ATP and support motility. Rosiglitazone is an antidiabetic compound that enhances metabolic flexibility and glucose utilization in various cell types, but its effects on sperm metabolism are unknown. This study investigated the effects of rosiglitazone on stallion sperm function in vitro, along with the possible role of AMP-activated protein kinase (AMPK) in mediating these effects. Sp...
Evaluation and Comparison of Vitamin D Responsive Gene Expression in Ovine, Canine and Equine Kidney.
PloS one    September 15, 2016   Volume 11, Issue 9 e0162598 doi: 10.1371/journal.pone.0162598
Azarpeykan S, Dittmer KE, Marshall JC, Perera KC, Gee EK, Acke E, Thompson KG.The aim of this study was to determine the relative abundance and relationship of vitamin D responsive and calcium transporting transcripts (TRPV5, TRPV6, calD9k, calD28k, PMCA, NCX1, CYP27B1, CYP24A1, and VDR) in ovine, canine and, equine kidney using quantitative real-time PCR (RT-qPCR), and then perform a comparison between the three species. Renal tissue samples were harvested post-mortem from 10 horses, 10 sheep, and five dogs. Primers were designed for each gene. For each sample total RNA was extracted, cDNA synthesised, and RT-qPCR was performed. RT-qPCR data were normalised and statist...
Use of the oral sugar test in ponies when performed with or without prior fasting.
Equine veterinary journal    September 5, 2016   Volume 49, Issue 4 519-524 doi: 10.1111/evj.12607
Knowles EJ, Harris PA, Elliott J, Menzies-Gow NJ.It is recommended that the oral sugar test (OST) for insulin dysregulation (ID) be performed after an overnight fast, but fasting is impractical in ponies kept solely at pasture. There are few data on OST repeatability and reliability in ponies. Objective: To report 1) whether OST results obtained in the morning after an overnight fast or without fasting in the afternoon (FASTING/FED) can be used interchangeably, 2) time of highest insulin concentration T [insulin], repeatability and reliability of insulin response to the OST when FASTING or FED and 3) dichotomous agreement (ID/normal) within ...
Dextromethorphan and debrisoquine metabolism and polymorphism of the gene for cytochrome P450 isozyme 2D50 in Thoroughbreds.
American journal of veterinary research    September 1, 2016   Volume 77, Issue 9 1029-1035 doi: 10.2460/ajvr.77.9.1029
Corado CR, McKemie DS, Knych HK.OBJECTIVE To characterize polymorphisms of the gene for cytochrome P450 isozyme 2D50 (CYP2D50) and the disposition of 2 CYP2D50 probe drugs, dextromethorphan and debrisoquine, in horses. ANIMALS 23 healthy horses (22 Thoroughbreds and 1 Standardbred). PROCEDURES Single-nucleotide polymorphisms (SNPs) in CYP2D50 were identified. Disposition of dextromethorphan (2 mg/kg) and debrisoquine (0.2 mg/kg) were determined after oral (dextromethorphan) or nasogastric (debrisoquine) administration to the horses. Metabolic ratios of plasma dextromethorphan and total dextrorphan (dextrorphan plus dextrorph...
Clinical, histopathological and metabolic responses following exercise in Arabian horses with a history of exertional rhabdomyolysis.
Veterinary journal (London, England : 1997)    August 24, 2016   Volume 216 196-201 doi: 10.1016/j.tvjl.2016.08.011
McKenzie EC, Eyrich LV, Payton ME, Valberg SJ.A previous report suggests a substantial incidence of exertional rhabdomyolysis (ER) in Arabian horses performing endurance racing. This study compared formalin histopathology and clinical and metabolic responses to a standardised field exercise test (SET) between Arabians with and without ER. Arabian horses with (n = 10; age 15.4 ± 5.6 years) and without (n = 9; 12.9 ± 6.1 years) prior ER were stall-rested for 24-48 h, after which paired ER and control horses were fitted with a telemetric ECG and performed a 47 min submaximal SET. Plasma glucose, lactate, electrolyte and...
[Horse, cow and reindeer were converted into arctic domestic animals].
Duodecim; laaketieteellinen aikakauskirja    August 16, 2016   Volume 132, Issue 13-14 1231-1236 
Kantanen J.Domestic animal production in the arctic region is often thought to be based exclusively on reindeer herding. There are, however, regions in Northern Europe and Siberia having a long tradition in rearing breeds of cattle and horse adapted to the northers conditions also. The development of these arctic animal breeds has been largely founded on old tradition rather than on the programs of breeding organizations. As a result of the selection carried out by nature and man, the domestic animals of arctic regions express characteristics that are metabolic, structural, associated with reproductive p...
The effect of calcium and vitamin D supplementation on bone health of male Jockeys.
Journal of science and medicine in sport    August 9, 2016   Volume 20, Issue 3 225-229 doi: 10.1016/j.jsams.2016.08.004
Silk LN, Greene DA, Baker MK, Jander CB.Engagement in high volumes of physical activity coupled with energy restriction during periods of musculoskeletal development may compromise bone health. Jockeys limit caloric intakes on a weekly basis often from their mid-to-late teens. The aim of this study was to establish whether calcium and vitamin D supplementation would improve bone turnover markers (BTM) and non-weight bearing bone properties of young male jockeys. Methods: A six-month randomised, double-blinded, placebo-controlled trial with two groups of apprentice male jockeys was conducted. Methods: Participants (age 20.18±3.23yea...
Dietary selenium and prolonged exercise alter gene expression and activity of antioxidant enzymes in equine skeletal muscle.
Journal of animal science    August 3, 2016   Volume 94, Issue 7 2867-2878 doi: 10.2527/jas.2016-0348
White SH, Johnson SE, Bobel JM, Warren LK.Untrained Thoroughbred horses (6 mares and 6 geldings; 11 yr [SE 1] and 565 kg [SE 11]) were used to evaluate antioxidant gene expression and enzyme activity in blood and skeletal muscle in response to prolonged exercise after receiving 2 levels of dietary selenium for 36 d: 0.1 (CON; = 6) or 0.3 mg/kg DM (SEL; = 6). Horses were individually fed 1.6% BW coastal bermudagrass hay, 0.4% BW whole oats, and a mineral/vitamin premix containing no Se. Sodium selenite was added to achieve either 0.1 or 0.3 mg Se/kg DM in the total diet. On d 35, horses underwent 2 h of submaximal exercise in a free-st...
The Effect of Fasting Duration on Baseline Blood Glucose Concentration, Blood Insulin Concentration, Glucose/Insulin Ratio, Oral Sugar Test, and Insulin Response Test Results in Horses.
Journal of veterinary internal medicine    August 2, 2016   Volume 30, Issue 5 1726-1731 doi: 10.1111/jvim.14529
Bertin FR, Taylor SD, Bianco AW, Sojka-Kritchevsky JE.Published descriptions of the oral sugar test (OST) and insulin response test (IRT) have been inconsistent when specifying the protocol for fasting horses before testing. The purpose of our study was to examine the effect of fasting duration on blood glucose concentration, blood insulin concentration, glucose/insulin ratio, OST, and IRT results in horses. Methods: Ten healthy adult horses. Methods: Both OST and IRT were performed on horses without fasting and after fasting for 3, 6, and 12 hours. Thus, 8 tests were performed per horse in a randomized order. Blood collected at the initial time ...
Cardio-metabolic responses during horse riding at three different speeds.
European journal of applied physiology    August 2, 2016   Volume 116, Issue 10 1985-1992 doi: 10.1007/s00421-016-3450-7
Sainas G, Melis S, Corona F, Loi A, Ghiani G, Milia R, Tocco F, Marongiu E, Crisafulli A.The purpose of the present investigation was to study the metabolic demand and cardiovascular response during a typical horse riding session. Methods: To this aim, 19 (9 male, 10 female) riders, regularly participating in competitions, were enrolled. They underwent a preliminary, incremental exercise test on a cycle-ergometer to assess their anaerobic threshold (AT) and VO2max. Then, participants underwent a riding training session, which comprised periods of walking, trotting, and cantering for a total of 20 min. Oxygen uptake (VO2), carbon dioxide production (VCO2), and heart rate (HR) were...
Pharmacokinetic profiles of the active metamizole metabolites in healthy horses.
Journal of veterinary pharmacology and therapeutics    July 31, 2016   Volume 40, Issue 2 165-171 doi: 10.1111/jvp.12342
Giorgi M, Aupanun S, Lee HK, Poapolathep A, Rychshanova R, Vullo C, Faillace V, Laus F.Metamizole (MT) is an analgesic and antipyretic drug labelled for use in humans, horses, cattle, swine and dogs. MT is rapidly hydrolysed to the active primary metabolite 4-methylaminoantipyrine (MAA). MAA is formed in much larger amounts compared with other minor metabolites. Among the other secondary metabolites, 4-aminoantipyrine (AA) is also relatively active. The aim of this research was to evaluate the pharmacokinetic profiles of MAA and AA after dose of 25 mg/kg MT by intravenous (i.v.) and intramuscular (i.m.) routes in healthy horses. Six horses were randomly allocated to two equally...
Equine atypical myopathy: A metabolic study.
Veterinary journal (London, England : 1997)    July 29, 2016   Volume 216 125-132 doi: 10.1016/j.tvjl.2016.07.015
Karlíková R, Široká J, Jahn P, Friedecký D, Gardlo A, Janečková H, Hrdinová F, Drábková Z, Adam T.Atypical myopathy (AM) is a potentially fatal disease of grazing horses. It is reportedly caused by the ingestion of sycamore seeds containing toxic hypoglycin A. In order to study metabolic changes, serum and urine samples from nine horses with atypical myopathy and 12 control samples from clinically healthy horses were collected and then analysed using a high-performance liquid chromatography coupled with tandem mass spectrometry; serum metabolic profiles as the disease progressed were also studied. Metabolic data were evaluated using unsupervised and supervised multivariate analyses. Signif...
Equine 5α-reductase activity and expression in epididymis.
The Journal of endocrinology    July 27, 2016   Volume 231, Issue 1 23-33 doi: 10.1530/JOE-16-0175
Corbin CJ, Legacki EL, Ball BA, Scoggin KE, Stanley SD, Conley AJ.The 5α-reductase enzymes play an important role during male sexual differentiation, and in pregnant females, especially equine species where maintenance relies on 5α-reduced progesterone, 5α-dihydroprogesterone (DHP). Epididymis expresses 5α-reductases but was not studied elaborately in horses. Epididymis from younger and older postpubertal stallions was divided into caput, corpus and cauda and examined for 5α-reductase activity and expression of type 1 and 2 isoforms by quantitative real-time polymerase chain reaction (qPCR). Metabolism of progesterone and testosterone to DHP and dihydro...
Controlled trial of whole body protein synthesis and plasma amino acid concentrations in yearling horses fed graded amounts of lysine.
Veterinary journal (London, England : 1997)    July 19, 2016   Volume 216 93-100 doi: 10.1016/j.tvjl.2016.07.007
Mastellar SL, Coleman RJ, Urschel KL.Lysine has been reported as the first limiting amino acid in typical equine diets. Indicator amino acid oxidation (IAAO) has become the standard method for determining amino acid requirements in other species, but prior to this study, it has not been used to determine equine requirements. The aim of this study was to evaluate whole body protein synthesis and plasma and muscle amino acid concentrations in response to graded levels of lysine intake in yearling horses. Six Thoroughbred colts (358 ± 5 kg) were fed each of six treatment lysine intakes ranging from 76 to 136 mg/kg body weig...
Exertional heat illness: a review of the syndrome affecting racing Thoroughbreds in hot and humid climates.
Australian veterinary journal    June 29, 2016   Volume 94, Issue 7 240-247 doi: 10.1111/avj.12454
Brownlow MA, Dart AJ, Jeffcott LB.Metabolic heat produced by Thoroughbred racehorses during racing can rapidly elevate core body temperature (1°C/min). When environmental conditions are hot and humid, the normal physiological cooling mechanisms become ineffective. The heat accumulated may exceed a critical thermal maximum (estimated to be 42°C), which may trigger a complex pathophysiological cascade with potentially lethal consequences. This syndrome has been labelled exertional heat illness (EHI). EHI is described in humans, but has not been well documented in Thoroughbred racehorses. The clinical signs described in racehor...
Comparative Transcriptomic Analyses by RNA-seq to Elucidate Differentially Expressed Genes in the Muscle of Korean Thoroughbred Horses.
Applied biochemistry and biotechnology    June 28, 2016   Volume 180, Issue 3 588-608 doi: 10.1007/s12010-016-2118-4
Ghosh M, Cho HW, Park JW, Choi JY, Chung YH, Sharma N, Singh AK, Kim NE, Mongre RK, Huynh D, Jiao ZJ, Do KT, Lee HK, Song KD, Cho BW, Jeong D.The athletic abilities of the horse serve as a valuable model to understand the physiology and molecular mechanisms of adaptive responses to exercise. We analyzed differentially expressed genes in triceps brachii muscle tissues collected from Eonjena Taeyang and Jigusang Seryeok Thoroughbred horses and their co-expression networks in a large-scale RNA-sequence dataset comparing expression before and after exercise. High-quality horse transcriptome data were generated, with over 22 million 90-bp pair-end reads. By comparing the annotations, we found that MYH3, MPZ, and PDE8B genes in Eonjena Ta...
Effects of withholding feed on thyrotropin-releasing hormone stimulation test results and effects of combined testing on oral sugar test and thyrotropin-releasing hormone stimulation test results in horses.
American journal of veterinary research    June 28, 2016   Volume 77, Issue 7 738-748 doi: 10.2460/ajvr.77.7.738
Restifo MM, Frank N, Hermida P, Sanchez-Londoño A.OBJECTIVE To assess effects of withholding feed on thyrotropin-releasing hormone (TRH) stimulation test results used in diagnosis of pituitary pars intermedia dysfunction in horses and determine effects of combined testing on results of the TRH stimulation test and the oral sugar test (OST) used in diagnosis of equine metabolic syndrome. ANIMALS 30 adult horses. PROCEDURES All horses underwent TRH stimulation tests under fed and nonfed conditions, an OST alone, and an OST combined with TRH stimulation testing. For TRH stimulation tests, plasma ACTH concentrations were measured before (baseline...
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