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Together, these findings support an endotype-based interpretation of RM-associated endometrial dysfunction, in which immune and stromal defects are biologically intertwined rather than independent contributors [377, 378]

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Proper packing requires an insulated medical travel case with cooling gel packs, original packaging with pharmacy labels, and sufficient supplies including extra pens for delays

Pubertal stage Based on drawings and text representing Tanner stages for breast 15 (female) and pubic hair 15 (male), the pubertal stage was self-assessed

No participants are known to be off therapy and without both vomiting episodes and migraine in the medium-term follow-up period of this study