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El Mofty, M

, Systematic Review: Nonmedical Use of Prescription Stimulants: Risk Factors, Outcomes, and Risk Reduction Strategies

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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 ( Immune checkpoint molecules, which regulate immune tolerance, are also dysregulated in endometriosis