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The results revealed that all three bacterial strains exhibited substantial bile tolerance, which facilitated their colonization of the esophageal epithelium in GERD-like environments

"Growth hormone deficiency in adults is defined by the combination of clinical features, pituitary disease or damage, and a subnormal GH response to a validated stimulation test," according to the 2019 Endocrine Society Clinical Practice Guideline on Diagnosis and Treatment of Adults with GH Deficiency [19]