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Zachariah et al (22) described multiple doses of chemotherapy used for a 55-year-old man with NICTH due to a large retroperitoneal undifferentiated mesenchymal tumor, but noted that the patient deteriorated and died over the next few months

FIGURE 3 Melatonin primarily alleviates stress by modulating the hypothalamic-pituitary-adrenal (HPA) axis, an essential part of the bodys stress response system

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