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Altered gut microbiome and post traumatic hypopituitarism in chronic TBI: The need for recognition, evaluation and treatment

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Post traumatic hypopituitarism (PTHP) occurs in 30-50% of individuals with chronic moderate-severe TBI as well as individuals with mild TBIs who remain symptomatic after a year. Growth hormone deficiency (GHD) occurs in approximately 15-20%, Gonadotropin defic... ...