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Correcting deficiencies takes weeks, sometimes months, and I want the results on the table at the second consultation so we can make decisions rather than wait another fortnight for results to come back

doi: 10.1002/art.40892 278 TangT-TSongYDingY-JLiaoY-HYuXDuRet al

Much of this summary comes from personal experience in treating such patients

Letouz E, Martinelli C, Loriot C, Burnichon N, Abermil N, Ottolenghi C, Janin M, Menara M, Nguyen AT, Benit P, Buffet A, Marcaillou C, Bertherat J, Amar L, Rustin P, De Reynis A, Gimenez-Roqueplo AP, Favier J

Chronic insomnia is associated with nyctohemeral activation of the hypothalamic-pituitary-adrenal axis: clinical implications