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"A Prospective, Randomized Study Comparing the Outcome After Thulium Laser Enucleation of the Prostate with Conventional Monopolar TURP for the Treatment of Symptomatic Benign Prostatic Hyperplasia"

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The strongest candidates are patients with documented poor sleep quality (especially inadequate slow-wave sleep), elevated or dysregulated cortisol, and co-existing metabolic markers such as insulin resistance, rising fasting glucose, low IGF-1, or visceral fat accumulation