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Among these, TNF- is highlighted as a critical driver, with elevated levels in serum and peritoneal fluid of patients with active lesions, and its altered balance with Th1/Th2 cytokines linked to embryo toxicity and endometrial dysfunction (25)
Hussain, N., Jaitley, V
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Improved sleep was a secondary outcome in patients whose pain had been disrupting sleep (PMID 6281420)
The Journal of the American College of Certified Wound Specialists
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