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It is only for a few relatively rare diseases, such as retinitis pigmentosa or gyrate atrophy, that adjustments in nutrition have been proven effective and widely accepted. (A) Metatarsal head resection. 368 The exact mechanism explain- ing the association between LVH and insulin resistance in not known, but one can speculate that hyperinsulinemia plays a role as a growth factor. 3 A.
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