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Lack of government intervention in failing health systems has led to the need for NGOs to fill the void in many rural health care systems. In April 2018, employers with over 250 employees will be legally required to publish data relating to pay inequalities. It can be said sometimes to be a type of urban legend, said to be passed down by older women to a younger generation. Opioid-induced endocrinopathy is likely caused by their agonism of opioid receptors in the hypothalamus and the pituitary gland.

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