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72 Ultimately, the choice reflects surgeon preference and clinical context: Dor is favored without a hiatal hernia to minimize retro-esophageal dissection, whereas Toupet is preferred when a posterior dissection is required for hernia repair

Each dose reduction triggers a specific set of changes, and recognizing them as normal parts of the process, rather than signs of failure, is half the battle

Hurst, J

Your menstrual cycle depends on a precise hormonal orchestra involving the hypothalamus, pituitary gland, ovaries, and multiple supporting hormones including growth hormone, leptin, and thyroid hormones

Any expectant mother or father will hope that the labor and delivery process will go smoothly, but that is not always the case