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Thats because hCG can act similarly to luteinizing hormone (LH), a chemical produced by the pituitary gland that stimulates ovulation

The study did not specifically account for patients who were concurrently taking medications known to influence hemoglobin or ferritin levels, such as iron supplements, erythropoiesis-stimulating agents, or other medications affecting iron metabolism

The ROS-mediated damage is further enhanced in older individuals since during aging, GSH levels appear to diminish in numerous tissues, thereby placing cells at increased risk of stress-related death (Maher, 2005)