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Factors such as time spent outdoors and the use of sunscreen influence sun exposure , which is crucial for the body to synthesise Vitamin D naturally

Exclusion criteria: (1) Patients with abnormal coagulation function [limits: prothrombin time (PT) between 1014 seconds, activated partial thromboplastin time (APTT) between 2540 seconds, and fibrinogen (Fib) levels between 2.04.0 g/L] and immunodeficiency [either primary immunodeficiency (congenital or hereditary conditions leading to impaired immune responses) or secondary immunodeficiency (conditions acquired through HIV infection, chronic immunosuppressive therapy, or severe malnutrition)]

Cardiac Hypertrophy: High levels of GH and IGF-1 can cause the heart muscle to thicken (cardiac hypertrophy), which may compromise heart function and increase the risk of heart disease and heart attacks