Women before and after steroids

Pregnancy and the hyperestrogenemic state promote biliary cholesterol saturation and inhibit the hepatic synthesis of chenodeoxycholic acid, thus favoring lithogenesis. In addition, prepregnancy obesity, low activity level, low serum leptin levels, and a history of gallbladder disease are reported to be strong risk factors for pregnancy-associated gallbladder disease. The risk increases as the pregnancy advances, and by the third trimester approximately 10% of pregnant women may have gallstones, compared with 5% at the beginning of the pregnancy. However, most gallstones regress in the postpartum period.

Women before and after steroids

women before and after steroids

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