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Results Elevated cortisol levels are associated with sleep disturbance [20], increased stress [21], cognitive decline [9], cardiovascular disease, obesity, metabolic syndrome, susceptibility to infection, cancer, physical weakness, and memory problems [5,22]

These findings suggest that inherited genetic factors may combine with environmental factors (such as smoking) to lead a person to develop endometriosis

Institutional Review Boards require full disclosure of this information to research subjects of clinical trials, and the substance and style of this disclosure could have profound effects on the outcome

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