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The proposed mechanism involves selective stimulation of fat breakdown (lipolysis) and suppression of fat formation (lipogenesis) via direct effects on adipose tissue, without the growth hormone-like systemic effects

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[12] Antigenic sensitivity [edit] Various antigenic triggers have been implicated as a trigger, including L forms of streptococci, herpes simplex virus, varicella-zoster virus, adenovirus, and cytomegalovirus