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However, clinicians should maintain a broad differential diagnosis, as symptoms such as fatigue and reduced libido can result from multiple causes, including inadequate caloric intake, nutrient deficiencies (particularly vitamin D, iron, or B vitamins), sleep disturbances, depression, or other medical conditions

Case reports of in-utero exposure have documented feminizing effects on male fetuses

10.1038/nrneurol.2014.184 Nat

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These experiments evaluate markers such as enzyme activity involved in fatty acid processing and transcriptional regulation of metabolic genes associated with lipid handling [6]