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Ônibus despenca em precipício, há vários mortos e desaparecidos

Seguem as buscas pelos desaparecidos e as causas do acidente estão sob investigação.

Um trágico acidente de ônibus ocorrido na última sexta-feira (3) deixou pelo menos seis mortos e seis desaparecidos na região de Áncash, localizada nos Andes peruanos, contudo, o número de desaparecidos podem aumentar, segundo informações dos socorristas.

O veículo, que transportava mais de 30 passageiros, despencou de um precipício com aproximadamente 150 metros de altura, resultando em um cenário de destruição e comoção. O ônibus fazia o trajeto entre Lima e a cidade de Pomabamba, quando sofreu o acidente na província de Mariscal Luzuriaga, situada a cerca de 430 quilômetros da capital peruana.

A queda aconteceu em uma área de difícil acesso o que dificultou o acesso dos socorristas do Corpo de Bombeiros e fez com que o veículo, da empresa Conchucos Express, se partisse ao meio e ficasse completamente destruido após cair em um rio.

As causas do desastre ainda não foram esclarecidas, mas investigações estão em andamento. De acordo com informações preliminares da Direção Regional de Saúde de Áncash, 32 passageiros ficaram feridos e estão recebendo atendimento médico. As autoridades locais também intensificaram as buscas para localizar os desaparecidos.

Equipes de resgate enfrentam grandes desafios devido ao terreno acidentado e às condições climáticas da região. O diretor regional de Saúde, Ricardo Natividad, destacou que esforços intensivos estão sendo realizados para prestar assistência às vítimas e suas famílias.

No entanto, o número de desaparecidos e a gravidade dos ferimentos aumentam as preocupações em relação ao balanço final do incidente. Acidentes em rodovias são um problema recorrente no Peru, impulsionados por fatores como a má conservação das estradas, práticas imprudentes ao volante e a insuficiência de fiscalização.

O trágico episódio reforça a necessidade de medidas mais rigorosas para melhorar a segurança nas estradas, especialmente em regiões montanhosas, onde as condições de tráfego podem ser extremamente perigosas.

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4 Comments

  1. Wenn ein Arzt die Anabolika verschreibt, zur Behandlung von bestimmten Krankheiten, ist der
    Arzt sofort zu informieren, wenn Nebenwirkungen von Testosteron auftreten. Testosteron ist ein Steroidhormon aus der Gruppe
    der Androgene, das eine zentrale Rolle in der Entwicklung
    und Aufrechterhaltung männlicher Geschlechtsmerkmale spielt.
    Es wird hauptsächlich in den Hoden bei Männern und in geringeren Mengen in den Eierstöcken bei Frauen sowie in den Nebennierenrinden beider Geschlechter produziert.
    Testosteron wirkt durch Bindung an Androgenrezeptoren in Zielzellen, was zur Transkription spezifischer Gene führt und eine Vielzahl von physiologischen Effekten hervorruft.
    Es wirkt durch Bindung an Androgenrezeptoren, wodurch es die Genexpression beeinflusst und die
    Proteinsynthese fördert.
    Daher sollten Sie sicherheitshalber Ihren Arzt bei der Auswahl
    des richtigen Testosteronboosters einbeziehen und etwaige Nebenwirkungen melden. Sie können sich auch gründlich über einige der gängigsten Produkte informieren, indem Sie sich deren Bewertungen ansehen.
    Dies ist eine der häufigsten Nebenwirkungen von Testosteron bei fast allen auf dem Markt erhältlichen Nahrungsergänzungsmitteln. Schlafapnoe
    ist eine Schlafstörung, die Atemaussetzer verursacht und dazu führt, dass die betroffene Particular Person im Schlaf laut schnarcht.

    [2] Für viele angehende Konsumenten könnte dies ein Schock
    sein, da Testosteron dafür bekannt ist, Energie, Libido, Fruchtbarkeit und Aggression zu steigern.
    Die Dosis ist einfach anzupassen, und die Behandlung kann jederzeit beendet werden. Die Stimmungslage und der Antrieb werden möglicherweise ebenfalls durch Testosteron beeinflusst, d.

    Bei einigen Männern führt ein Testosteronmangel zu einer depressiven Symptomatik.
    Erhöhte Testosteronspiegel wurden in der Vergangenheit mit
    einer verstärkten Aggressivität in Zusammenhang
    gebracht. Die Kosten werden nur bei nachgewiesener Unterfunktion der Hoden (Hypogonadismus) und beim Klinefelter-Syndrom (Chromosomstörung bei Männern) von den Krankenkassen übernommen. Einige Studien haben diese
    Nahrungsergänzungsmittel mit Prostatakrebs in Verbindung gebracht.

    Testosteron-Präparate kommen nicht nur bei vielen Männern in der Andropause zur
    Verordnung, auch Frauen nehmen spezielle Präparate mit Testosteron ein, wenn bei ihnen eine solche
    Hormontherapie angezeigt ist. Bei einer Testosteron-Ersatztherapie
    kommt es insbesondere auf die Höhe der Dosierung an.
    Schon kleinste Überdosierungen der hochwirksamen psoriasis testosteron enantat [https://www.ip-exhibitions.net]-Präparate können gravierende Folgen haben und nicht bei jeder
    Behandlung ist die Dosierung verschreibungspflichtiger Testosteron-Präparate unproblematisch.
    Sehr selten (bei weniger als einem von zehntausend Patienten) entwickelt sich die Nebenwirkung Laktatazidose.
    Hierbei kommt es zu einer Übersäuerung des Körpers durch Milchsäure, was bisher größtenteils bei
    Patienten mit Nierenleiden beobachtet wurde. Zeichen einer Metformin-Laktatazidose sind Muskelschmerzen, Unwohlsein, Bauchschmerzen, Schnappatmung und eine niedrige Körpertemperatur.

    Kiefernpollen sind besonders reich an testosteronähnlichen Pflanzenhormonen.
    Allerdings gibt es gute Gründe, warum du das vermeiden solltest – vor allem aus
    gesundheitlichen Gründen. Achte darauf, deinen Körper nach dem
    Absetzen aufmerksam zu beobachten, zum Beispiel mit einem Zyklus-Tracker, und unterstütze
    die Umstellung durch eine ausgewogene Ernährung, ausreichend Bewegung und genügend
    Schlaf. Geduld ist wichtig, da es einige Zeit dauern kann, bis sich der natürliche Zyklus wieder
    stabilisiert. Was nach dem Absetzen der Pille im Körper passiert – und wie du dich optimal darauf vorbereiten kannst, damit den Hormonhaushalt und Zyklus wieder ins Gleichgewicht finden – hat watson für dich zusammengefasst.
    Nach einer Brustkrebsoperation können Verspannungen im
    Nacken auftreten und die Schulter ist nicht so beweglich.
    Über unser kostenloses Login erhalten Ärzte und Ärztinnen sowie andere Mitarbeiter
    der Gesundheitsbranche Zugriff auf mehr Hintergründe, Interviews und
    Praxis-Tipps. Antworten können Fehler enthalten und sind nicht
    redaktionell geprüft.
    Die Entstehung dieser Gynäkomastie unter Testosterongabe hängt
    eng mit dem Enzym Aromatase zusammen, das im Fettgewebe besonders aktiv
    ist und Androgene in Östrogene umwandelt. Über dieses Risiko müssen Übergewichtige vor Beginn einer TRT
    sorgfältig aufgeklärt werden. Eine TRT kann die Psyche und das Verhalten hypogonadaler Männer
    auch in anderer Hinsicht erheblich beeinflussen. Viele Männer
    berichten über eine gesteigerte Libido, eine Verbesserung ihrer
    sexuellen Funktion und ein gesteigertes Selbstwertgefühl unter der Hormontherapie.

    Benachrichtigen Sie bei Muskelschmerzen und -beschwerden unter
    Atorvastatin-Therapie Ihren Arzt. Dieser Text entspricht den Vorgaben der ärztlichen Fachliteratur, medizinischen Leitlinien sowie aktuellen Studien und wurde von Medizinern geprüft.
    Bei einer hohen Prednisolon-Dosierung kann die Kombination eine starke Unter- oder Überzuckerung auslösen. Die generelle Empfehlung lautet daher, Prednisolon und Alkohol
    nicht zur gleichen Zeit einzunehmen. Ist diese Kombination notwendig, verordnet der Arzt Protonenpumpenhemmer (z.B.
    Pantoprazol, Omeprazol) als Magenschutz. Prednisolon ist bei kurzer Anwendung generell sehr
    gut verträglich. Unerwünschte Folgen einer Prednisolon-Therapie treten üblicherweise dann auf,
    wenn Patienten höhere Dosen über längere Zeit einnehmen.
    Die Einnahme von Hormonen kann erhebliche gesundheitliche Nebenwirkungen haben. Aus diesem Grund sprechen erfahrene Bodybuilder häufig von der “ganz-oder-nie-Entscheidung”.
    Die steigende Unzufriedenheit sorgt häufig dazu, dass die “einmalige” Testosteron-Kur zum Dauerzustand wird.

  2. You could fill an entire fridge with the number
    of hormone-healthy meals you presumably can add to your plate.
    Focus on consuming a high-protein food plan, and contemplate adding these 14 testosterone-boosting
    meals to your grocery list. If you’ve been experiencing low testosterone symptoms, then it
    might be time to discover TRT.
    At HealthMatters, we’re dedicated to maintaining the safety and confidentiality of
    your private information. We’ve put industry-leading security standards in place to help defend against the loss,
    misuse, or alteration of the knowledge underneath
    our control. We use procedural, physical, and electronic security
    methods designed to stop unauthorized folks from getting
    entry to this info. All knowledge is backed up a quantity of occasions
    a day and encrypted using SSL certificates. Clinically, if
    you’re doing well and your doctor agrees that
    your ranges are within good ranges, then you’ll want to take a look at each six months.
    The common male who reaches 70 years old may have testosterone manufacturing that’s 30 % under his peak
    (5).
    They usually are not medicines and are not intended to deal with,
    diagnose, mitigate, prevent, or treatment ailments. Be cautious about taking
    dietary supplements in case you are pregnant or nursing.
    Also, be careful about giving supplements to a child, unless
    beneficial by their healthcare provider.
    Potential unwanted aspect effects embrace acne, hair
    progress on the face and body, male-pattern hair loss,
    and oily skin. Excessive doses of testosterone may
    find yourself in irreversible unwanted facet effects corresponding to enlargement of the clitoris and decreasing of the voice.
    When a patient of mine decides to stop taking testosterone,
    it is rarely because of unwanted facet effects and almost at all times because it
    simply isn’t working for her.
    As Quickly As dismissed as a rare situation affecting older men, low T (testosterone deficiency) is now understood as a much more widespread concern. Thanks to
    a mixture of trendy stress, environmental exposures, and plain old growing older,
    extra males are hitting their 40s and 50s feeling like
    shadows of themselves — and a lot of don’t even know why.
    Whereas sedentary behavior, poor food plan, and publicity to environmental toxins all lower T levels over time,
    prevention is possible. The widespread decline in T levels also has implications for society
    as a whole, says Houman. Anybody who feels they have excessive T ranges ought
    to contact a doctor. High T in females could indicate circumstances in the ovaries,
    corresponding to ovarian most cancers or PCOS.
    Testosterone levels also range with age and main progress occasions, such as puberty.

    These kits might not provide correct or reliable outcomes, and interpreting the outcomes may be difficult with out correct medical steering.
    It is at all times finest to seek the advice of with a
    healthcare professional who makes a speciality of hormone
    well being for an accurate assessment of your testosterone ranges and appropriate therapy,
    if needed. Testosterone is a vital hormone that performs an important function within the growth and
    maintenance of male secondary sexual traits. It is produced
    primarily within the testes and is responsible for maintaining muscle mass, bone density,
    pink blood cell production, and libido. As males age, their testosterone
    levels naturally lower, which might result in a big selection of signs similar to fatigue, decreased libido, and decreased muscle mass.
    Whereas blood exams present a reliable technique for measuring
    testosterone levels, it is important to debate your symptoms and considerations with a healthcare skilled who makes a speciality of hormone well being.

    They can interpret your ends in the context of your total well being and supply
    acceptable steerage and treatment options if essential.

    Keep In Mind, collaboration with a healthcare skilled is essential in growing an appropriate monitoring schedule and therapy plan. Frequently checking testosterone ranges is an essential part of maintaining hormonal health, particularly for individuals experiencing
    symptoms of low testosterone. Testosterone is a hormone that performs a vital function in numerous
    bodily features, including muscle development, bone density, intercourse drive, and temper regulation.
    When having sex or masturbating, feel free to verify and keep monitor of semen volume.
    Proof reveals that top ranges of 5alpha-reductase in apocrine sweat glands are in relation to greater testosterone and play a central function within the
    anabolic exercise of androgens. Basically, if your sweat has an unpleasant odor, then your testosterone ranges are okay.
    On the other hand, if the sweat is odorless, the levels of this hormone have decreased.
    An accurate method to test testosterone stage and check it is to measure your body fats share.

    The indicators of low testosterone in males could embody lowered intercourse
    drive, low vitality or fatigue, feelings of melancholy, irritability,
    hair loss, erectile dysfunction, decreased lean muscle mass, and weight gain. If the levels aren’t within a regular range, you’ll have the ability
    to focus on potential treatment choices, together with testosterone replacement therapy.
    You may also consider pure methods to extend testosterone
    levels. Talking with a health care provider or medical professional is
    an efficient place to start in case you have considerations about your testosterone ranges.

    And just as occurs for men, women’s testosterone ranges drop as they age.

    Typically, whole testosterone levels below 300 ng/dL (nanograms per deciliter) might indicate low T,
    but it’s nuanced. Free testosterone (the energetic
    form) also issues, as does the patient’s general well being image.

    References:

    steroid Drug

  3. Native development is achieved by transmasculine folks utilizing androgen lotions.
    But, for safety’s sake, such therapies should be taken underneath the prescription of a doctor.
    Tissues like the vaginal area settle for the testosterone by way of the receptors.
    These receptors outcome in the hyposthesia of the clitoris when testosterone is on the
    high facet. This mechanism has not changed from how testosterone
    influences the development of chest hair and the pitch
    of your voice. Questions and discussions about, for, to, or from the Reddit transgender neighborhood.Open to anyone with a question. Jesse Lackowitz Crozier is 35, based
    mostly in Brooklyn, and has long recognized as non-binary… or something near it.

    Non-steroidal anti-inflammatory medication (e.g.,
    Ibuprofen, Diclofenac and Aspirin) and paracetamol appear to be
    the most helpful. On a scale from zero (no pain)
    to 10 (most severe pain), the median ranking of pelvic ache in those
    utilizing testosterone was 6.2. This is barely decrease than the median score of 6.7
    reported for interval ache severity prior to graduation of testosterone.
    Moreover, it is essential to monitor any adjustments within the
    measurement or look of the clitoris and report any uncommon signs to
    your healthcare provider. Regular check-ups and discussions together with your healthcare provider are essential to ensure that any potential complications or concerns are addressed promptly.
    Lastly, self-acceptance and self-love are crucial in the course
    of the transition course of.
    Stay related to every little thing trans — from gender-affirming care to FTM
    and MTF transitions, trans culture, events, and more — by signing up for
    our e-newsletter. Howdy everybody, I was wondering if anybody who was born someplace on the Prader
    scale (other than typical genitalia obviously) had any bottom growth
    outcomes happening testosterone. /r/TransMasc is a subreddit for all transmasculine folks; whether or not you are FTM,
    pre-everything, nonbinary, genderqueer, or another transmasculine identification. A subreddit for
    individuals of every stripe who feel that they don’t match into
    a preference-binary or gender-binary culture. All virtual and in-person consultations with our
    board-certified surgeons are free.
    Pumps can be used before beginning T or while on T,
    and it’s all the time a good suggestion to make use of lube when pumping to lower discomfort.
    Backside development is a phrase that many transgender folks use to explain the method of clitoral hypertrophy, or the clitoris growing in length and width whereas
    taking testosterone. Nearly all of us will have
    some backside development as a aspect effect of
    T hormone substitute remedy. Folks expertise genital modifications in a different way, which may depend
    on their doses of testosterone and testosterone levels. For transgender males, backside dysphoria is usually a vital problem to their mental well being and general well-being.

    Please notice that this page is for informational functions solely and
    should not be taken as medical recommendation. The GCC (Gender
    Confirmation Center) solely performs gender affirming surgical procedure and does not prescribe hormones to patients.
    Going on hormones or altering your hormone dose or regimen can carry a variety of dangers,
    which is why it ought to only be carried out underneath the steerage of
    a medical supplier who specializes in gender-affirming care.
    The effects of hormone therapy can range from person to person, and
    not everybody will expertise the same degree of backside progress.

    Some people may notice adjustments inside weeks,
    whereas others might take several months to expertise visible progress.
    On average, bottom progress stabilizes after about one to 2 years of testosterone remedy, but individual variations are common.
    Gender-affirming hormone remedy (GAHT) impacts each system in the physique.

    For those who had periods prior to starting testosterone, regular bleeding usually stops within the first six months of hormone
    therapy. However, breakthrough bleeding is not uncommon, even after years of
    using testosterone. Adjustments to the endometrium (the lining of the
    uterus) differ, and no major modifications appear to
    occur in the ovaries. Testosterone sometimes puts a halt to the hormones that mature
    eggs in the ovaries, and the ovaries go into ‘hibernation’, meaning
    these using testosterone could not ovulate. Testosterone induces
    changes within the body by binding to androgen receptors, including these in the clitoral tissue.
    When testosterone is launched into the physique, either via
    injections, patches, gels, or other strategies, it could cause the clitoris to develop in both
    size and width. The extent of development varies broadly among people and could be influenced by
    components such as age, genetics, and the dose of testosterone administered.

    If somebody is experiencing backside development that feels excessive or rapid, they can regulate to a lower T dosage to handle these unwanted
    aspect effects. However, there are a quantity of strategies that people have told us
    that work for them to enhance backside progress. Underneath HRT, steroids that make you
    faster, Timothy,’s
    often when the gender therapies begins to reshape the bottom space and that of
    the hips. Backside development might mean the rise in measurement and form in trans fems and the shrinking and reshaping of the bottom area in trans masc.
    Some want this to occur, others do not and in others could not see
    backside growth in HRT therapies with out surgical procedure.

    I’m on little or no hormone nevertheless it works to get the extent
    for a normal girl.

  4. Efficient efficiency drug testing, therefore, needs to have
    the ability to differentiate between the normal presence of steroid hormones and people who exist on account
    of exogenous steroid use. While this may be relatively simple to detect mental health cases in steroid abuse|acybgntbgv0jfnkoyks0e75iu3dejdmsdw:*** (Juliann) females who have naturally very low ranges of testosterone, in male users, it needs to be undertaken more carefully to avoid false positives.
    What we’ve to recollect when it comes to females utilizing anabolic steroids is
    that you’re introducing male androgen hormones into
    your body at ranges much greater than would ever be produced naturally.
    Again, this process is important for muscle progress and stopping muscle loss throughout chopping cycles.

    Many people who take it cope with a body dysmorphic dysfunction referred
    to as muscle dysmorphia, which is a preoccupation with muscle dimension and the worry that muscle tissue are too small.
    Medical Doctors use these medication to help
    deal with delayed puberty, and enhance muscle mass and strength in individuals who
    have conditions that cut back muscle tissue. Some doctors
    prescribe it for testosterone supplementation remedy to improve temper and
    sexual performance in older men. Medical Doctors prescribe
    corticosteroids rather more typically than anabolic steroids.

    You may need them to deal with conditions such as asthma, eczema,
    muscle and joint situations, lupus, or a quantity of sclerosis.
    At a mobile degree, they cause redistribution of granulocytes, resulting in increased circulating granulocytes and reduced tissue pools.

    If you’ve any of these circumstances, the individual treating you’ll need to make
    sure the steroids aren’t making the condition worse.
    They’re also known as corticosteroids, and are completely different to anabolic steroids
    utilized by bodybuilders and athletes. Steroid injections can be used
    for joint issues and rheumatoid arthritis. They may also
    be used for some circumstances affecting soft tissues, like tendon inflammation or tennis elbow.
    They can generally be given on the GP follow,
    if there’s a doctor, nurse or physio there who has had particular coaching to do
    this. In extra difficult situations they might be given in a hospital,
    utilizing ultrasound steerage. For extra info see the separate leaflet referred to as Steroid Injections.

    At occasions, this bridge may be timed to the start of a
    new intervention corresponding to Botox. The goal of the therapy is to attenuate the
    harm that the swollen tissues could additionally be causing.
    The discount in swelling and certain chemicals launched
    within the inflammatory process helps relieve pain.
    For simplicity, this text will discuss with prednisone
    or “steroids” somewhat than mention all of the totally different varieties which could be used to interrupt a migraine cycle.
    Moreover, methylprednisolone in “Medrol dose packs,” is a commonly used steroid for migraine aid.
    Neurologists typically prescribe other steroids like dexamethasone (Decadron),
    methylprednisolone (Medrol) however prednisone for migraine tends to
    be the one that is mentioned most often by sufferers.
    By the end of this text you’ll perceive the two primary causes
    neurologists prescribe steroids for migraine complications.

    Individuals who take blood-thinning drugs (anticoagulants) or have a bleeding disorder
    (like hemophilia) could not be in a position to receive steroid injections.
    Inform your provider which situations you’ve and the way you’re managing them,
    together with which medicines or supplements you are taking.
    This helps to minimize back inflammation,
    which is a standard symptom in autoimmune diseases.
    When you’re taking prednisone, your body’s white blood cells become much less aggressive.
    Allergy to the steroid itself or to an additive in the base of the preparation can sometimes occur.

    If the eczema will get worse after utilizing a specific topical steroid, let your physician or nurse know.

    A trial in older hypogonadal males randomized to TRT
    with or without the 5α-reductase inhibitor dutasteride famous no change
    in CEC (137). CEC also remained unchanged in transgender males (female to male) undergoing treatment with
    testosterone gel or injections (138). In contrast, cross-sectional analysis demonstrated impaired CEC in AAS customers compared with age-matched, strength-trained nonusers and sedentary controls (139).
    It is possible that the higher dosages used, use of assorted AAS, or totally different methods used
    to measure CEC (which is not standardized), might underlie these differences.

    In particular, an affiliation between testosterone therapy and prostate cancer was quickly drawn primarily based
    on animal experiments and restricted case studies
    (81). Notably, the ventral prostate of the rat turned the model organ for androgenic exercise within the famend Hershberger androgen bioassay, which was developed in 1953 (82).

    Let’s delve into this question, exploring the timeline of steroid
    remedy and the influence it could possibly have in your street
    to restoration. The phenotype of mice with a conditional deletion of GR in myeloid cells has been reported by 2 groups (Bhattacharyya et al., 2007; Tuckermann et
    al., 2007; Wust et al., 2008). In both circumstances, the LysM promoter was
    used to drive Cre recombinase-mediated excision of a floxed GR gene.
    Related to adrenalectomised mice (Bertini et al., 1988), GRLsyMCre mice confirmed higher mortality following LPS challenge
    than management mice (Bhattacharyya et al., 2007).
    This was attributed to failure to induce DUSP1, required to inhibit p38
    MAPK activated by engagement of toll-like receptor
    (TLR) 4 by LPS (Zhao et al., 2006). In contrast to endotoxaemia, mice with deletion of GR
    in myeloid cells remained totally sensitive to therapeutic suppression of
    EAE by glucocorticoid, though they did show exacerbated illness (Wust et al., 2008).

    When you’re using steroid compounds which are fast-acting, they require
    more frequent injections than those compounds that have slower-release esters.
    Some compounds that need to be frequently injected include Winstrol and
    Testosterone Suspension. Apart From frequency, a few of
    these compounds are well known to be notably
    painful to inject. Steroid customers will usually use this type of injection when using different forms of compounds like HGH,
    peptides, HCG, and insulin. Subcut injections aren’t as fitted to oil-based solutions as most steroids however work properly with water-based compounds.
    IV injections are utilized in medical situations, undertaken in hospitals under strict hygiene situations,
    and carried out by medical professionals. Some illicit recreational drug
    users additionally use this kind of injection.
    This response reflects an inadequacy of the
    circulatory system rather than electrolyte and carbohydrate imbalances.
    Log your PMR symptoms so you’ll find a way to focus on them together with your doctor and tailor an applicable
    treatment plan. Ask your physician which different providers you ought
    to be seeing for adequate monitoring and follow-up. As you see completely different suppliers, make sure your doctors are speaking with each other or that
    you’re updating each of your providers on any new treatment.
    Meanwhile, cataracts can be a priority for those on steroid treatment.
    “Cataracts can develop after long-term use of steroids, so anybody who has cataracts also needs to have these evaluated, preserving in mind that they may be using steroids for six months to a yr,” says Dr.
    Cohen.

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