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If your mitral valve is severely leaky and you develop symptoms, the heart becomes stretched or weakened so you may referred for surgery

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Supraphysiological testosterone concentrations have been shown to reduce endothelial nitric oxide synthase expression and nitric oxide bioavailability, thereby favouring vasoconstriction and increased arterial stiffness ( Oxidative stress appears to represent a central mechanistic pathway linking molecular signalling alterations with structural cardiac pathology

This is needed by every living cell in the body and equates to higher energy levels