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Both these indications are warning signs
(2004) Effects of carnitines on rat sertoli cell protein metabolism

Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases
10.1038/s41386-018-0158-x 9 ChandrasekarV.DreyerJ

He will be assessed by radiation oncology to consider adjuvant treatment and will undergo surveillance imaging to rule out recidivist disease

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