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Options may include close monitoring if the problem is mild, laser treatment to address blood vessel leakage, or injectable medications (anti-VEGF drugs or steroids) to reduce swelling and prevent vision loss

The potential synergistic or additive interactions between these factors remain poorly understood, despite growing evidence that combined exposures may amplify oxidative stress and reproductive toxicity [103]

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In addition, patients had to fulfil the following criteria: (d) absence of enzymatic adrenal deficiency and/or other endocrine disease, including diabetes, (e) normal prolactin (PRL) levels (range 525 ng/ml), (f) no hormonal treatment during a period of at least 6 months prior to the study, (g) body mass index (BMI) above 26