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ACKNOWLEDGMENTS The authors wish to acknowledge support from the US Department of Education (P120A060075), National Institute of Health (K01 GM080578) National Science Foundation (Grant HRD 9253037), (Grant HRD 0927876) NASA (Grant NAG 2-6015), Howard Hughes Medical Institute (Grant 71194-527-802) and UNCF
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While this is rare, its essential to be vigilant for lumps or swelling in the neck, trouble swallowing, or shortness of breath
The evidence is strongest for improvements in weight, BMI, insulin resistance, waist circumference, and some androgen-related markers
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