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Re-interpretation of the mechanism of type 2 diabetes mellitus based on a framework of psychosomatic medicine: a real-world study.

BMC Psychiatry · 2022 · PMC9644606 · PMID 36348380

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showed a trendno p-value reported
The incidence of the abnormal HPT axis showed a trend of increasing moderately at first and then decreasing obviously from the stage of pre-diabetes to the stage of pre-diabetes comorbidity BD and then to the stage of type 2 DM or BD.

also in 53,322 other papers

a decreasing trendno p-value reported
With the continuous existence of stress, the daily rhythms of TT3, TT4, and TSH showed a decreasing trend [ 27 ].

also in 47,180 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.