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Firearm (1 patient) He reported good erectile function with successful sexual intercourse, but with painful erection in some cases and a palpable scar

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As sex hormones (e.g., estradiol) can regulate serum antioxidant enzyme levels and T cell activation (76, 77), the distinct underlying redox biology for ME/CFS females may be partially explained by these changes (78), which appear to be dysregulated in LC donors too (79)

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