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It has been evident in several studies that GH plays a vital physiological role in the regulation of male reproductive development and function, while the excessive release of GH can interfere with male reproductive health, sexual behavior, and fertility potentials

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When drug resistance develops after a prolonged clinical response and a time window in which MRD is undetectable by radiological imaging, it is widely accepted that cell plasticity and non-genetic drug tolerance may have a crucial role in causing drug resistance