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As part of my evaluation of low testosterone, I look at other hormones to see how well the hypothalamic/pituitary signaling is working
-fetoprotein, which has long been used for HCC diagnosis as well, has been shown to be insufficiently sensitive and specific for use as a surveillance assay

doi: 10.1177/09727531211072303 49

Chronic sleep deprivation can lead to lower overall levels

Vijayan M, Reddy PH (2016) Stroke, Vascular Dementia, and Alzheimers Disease: Molecular Links

If you have cold sores (even if inactive), getting fillers injected into the lips can cause the virus to flare up
