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The effects of cimicid feeding on the host include causing an immune response that results in discomfort, the transmission of pathogens, secondary infections at the wound site, physiological changes such as iron deficiency, and reduced fitness

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Moreover, an endocrine profile (serum testosterone levels, follicle stimulating hormone, luteinizing hormone and estradiol) and genetic test results (karyotype testing) were obtained

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Demographics and baseline characteristics are listed in Table 1