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2.2 The role of inflammation in endometriosis The coordinated action of macrophages, endometrial cells, endothelial cells, and activated lymphocytes, along with cytokines and chemokines, alters the abdominal immune microenvironment, facilitating pathological processes including cell proliferation, angiogenesis, lesion adhesion, growth, and invasion (34)

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In my opinion, the main risk is not getting enough calcium in their bones and enough protein to allow for growth, muscle maintenance or building muscle