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"Common etiology of posttraumatic stress disorder, fibromyalgia, chronic fatigue syndrome and multiple chemical sensitivity via elevated nitric oxide/peroxynitrite." Med Hypotheses

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Using fragrance-free products and washing with moisturizing soaps is also recommended (Schalock 2014

Common indicators include: Reduced libido and sexual function Persistent fatigue despite adequate sleep Loss of muscle mass and strength Increased abdominal and visceral fat Slower recovery from exercise Mood changes, irritability, or depression Difficulty concentrating or brain fog Decreased motivation Reduced bone density Thinning body or facial hair These symptoms typically develop gradually, which is why many men do not recognize them until they significantly impact quality of life