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Carbamazepine - StatPearls - NCBI Bookshelf

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The stimulation of the HPA axis increases the concentration of glucocorticoid hormones, particularly cortisol, in the bloodstream ( On the other hand, in the early stages following a stroke, hypercortisolism may result from changes in cortisol metabolism and/or clearance, an enhanced adrenal gland response to ACTH, or reduced efficacy of the negative feedback mechanism between cortisol and the hypothalamus (Olsson et al., 1992)

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