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Some reports have shown serum albumin levels as a biomarker for CHE [21, 134], and others suggested several candidate markers including vitamin D levels and neuroinflammation- and neuroinjury-related markers such as S100B, neurofilament light chain, and glial fibrillary acidic protein [135,136,137,138]
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Activation of these receptors influences sexual behavior, erectile responses, and libido through central rather than peripheral mechanisms
A transparent explanation of evidence limitations and surgical risk priorities is more likely to preserve trust and compliance than confrontational dismissal
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