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<br>Clinical Physiology. 6 (2): 171-181. doi:10.1111/j.1475-097x.1986.tb00066.x. Brenta, Gabriela (2011-09-19). "Why Can Insulin Resistance Be a Natural Consequence of Thyroid Dysfunction?". Journal of Thyroid Research. Orrell, Richard W. (2007-01-01), "Endocrine myopathies", Myopathies, Handbook of Clinical Neurology, vol. Byrne, Susan; Dionisi-Vici, Carlo; Smith, Luke; Gautel, Mathias; Jungbluth, Heinz (2016-02-29). "Vici syndrome: a assessment". Orphanet Journal of Rare Diseases. Reason, S. L.; Voermans, N.; Lucia, A.; Vissing, J.; Quinlivan, R.; Bhai, S.; Wakelin, A. (2023-06-12). "Development of Continuum of Care for McArdle illness: A sensible tool for clinicians and patients". Wakelin, Andrew (2017). Living With McArdle Disease (PDF). IamGSD (International Association for Muscle Glycogen Storage Disease). Scalco, Renata S.; Lucia, Alejandro; Santalla, Alfredo; Martinuzzi, Andrea; Vavla, Marinela; Reni, Gianluigi; Toscano, Antonio; Musumeci, Olimpia; Voermans, Nicol C.; Kouwenberg, Carlyn V.; Laforêt, Pascal; San-Millán, Beatriz; Vieitez, Irene; Siciliano, Gabriele; Kühnle, Enrico (2020-11-24). "Data from the European registry for patients with McArdle disease and other muscle glycogenoses (EUROMAC)". Orphanet Journal of Rare Diseases. Schneider, Joseph; Burmeister, Lynn A.; Rudser, Kyle; Whitley, Chester B.; Jarnes Utz, Jeanine (September 2016). "Hypothyroidism in late-onset Pompe disease".<br><br>However, throughout latest many years, research has clearly shown that long-term stress may be related to low cortisol and suppressed HPA axis activation, and this state of low cortisol is related to CFS, PTSD and burnout. 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