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Aging and menopause amplify these disparities by altering hormone levels and metabolic homeostasis, particularly through changes in lipid handling, insulin sensitivity, and adipokine signaling

Zigler JE, Shivers J, Guyer RD, Ohnmeiss DD: Complications Associated with the Anterior Approach to the Lumbar Spine: Analysis of 2,881 Consecutive Cases during a 6-year Period