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JC and ET contributed to the sample collection and analysis

Moreover, adults rendered anovulatory due to neonatal androgen or estrogen exposure are hyperprolactinemic, but interestingly the relative impact of drugs that modify dopaminergic versus serotoninergic effects on prolactin secretion vary depending on whether the sterility was induced by testosterone or estradiol (50)

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Bacterial overgrowth or dysbiosis can contribute to leaky gut syndrome, so the diagnostic workup should include functional stool tests and SIBO testing