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This adverse metabolic profile may further exacerbate cardiovascular risk by increasing oxidative stress and endothelial dysfunction, as androgen-mediated activation of metabolic pathways alters myocardial energy balance and redox homeostasis (73)
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10.1016/j.psyneuen.2010.09.010 Psychoneuroendocrinology 167 JagerG.KahnR
BMJ Case Rep
