Elementor #4268 - HASAN IELTS BANGLAY

Elementor #4268

CAMBRIDGE 14 LISTENING TEST 04

SECTION 1 Questions 1 – 10

Questions 1-7

Complete the notes below.

Write ONE WORD AND/OR A NUMBER for each answer.

Enquiry about booking hotel room for event

Example

Andrew is the ……Events…… Manager

Rooms

Adelphi Room

   number of people who can sit down to eat: 1 …………….

   has a gallery suitable for musicians

   can go out and see the 2 …………… in pots on the terrace

   terrace has a view of a group of 3 ………………

Carlton Room

number of people who can sit down to eat: 110

has a 4 ………………

View of the lake

Options

Master of Ceremonies:

can give a 5 …………… while people are eating

will provide 6 …………… if there are any problems

Accommodation:

in the hotel rooms or 7 ………………

Questions 8-10

What is said about using each of the following hotel facilities?

Choose THREE answers from the box and write the correct letter, A, B or C, next to Questions 8-10.

Availability

included in cost of hiring room

available at extra charge

not available

Hotel facilities

(8)   outdoor swimming pool ………………..

(9)   gym                                ………………..

(10)   tennis courts              …………………

SECTION 2 Questions 11 – 20

Questions 11-16

What information does the speaker give about each of the following excursions?

Choose SIX answers from the box and write the correct letter, A-H, next to Questions 11-16

Information

all downhill

suitable for beginners

only in good weather

food included

no charge

swimming possible

fully booked today

transport not included

Excursions

(11)   dolphin watching …………………

(12)   forest walk        …………………

(13)   cycle trip           …………………

(14)   local craft tour …………………

(15)   observatory trip   …………………

(16)   horse riding      …………………

Questions 17 and 18

Choose TWO letters, A-E.

Which TWO things does the speaker say about the attraction called Musical Favourites?

You pay extra for drinks.

You must book it in advance.

You get a reduction if you buy two tickets.

You can meet the performers.

You can take part in the show.

Questions 19 and 20

Choose TWO letters, A-E.

Which TWO things does the speaker say about the Castle Feast?

Visitors can dance after the meal.

There is a choice of food.

Visitors wear historical costume.

Knives and forks are not used.

The entertainment includes horse races.

SECTION 3 Questions 21 – 30

Questions 21-25

Choose the correct letter, A, B or C.

(21)   What does Trevor find interesting about the purpose of children’s literature?

A   the fact that authors may not realise what values they’re teaching

B   the fact that literature can be entertaining and educational at the same time

C   the fact that adults expect children to imitate characters in literature

(22)   Trevor says the module about the purpose of children’s literature made him

A   analyse some of the stories that his niece reads.

B   wonder how far popularity reflects good qualify.

C   decide to start writing some children’s stories.

(23)   Stephanie is interested in the Pictures module because

A   she intends to become an illustrator.

B   she can remember beautiful illustrations from her childhood.

C   she believes illustrations are more important than words.

(24)   Trevor and Stephanie agree that comics

A   are inferior to books.

B   have the potential for being useful.

C   discourage children from using their imagination.

(25)   With regard to books aimed at only boys or only girls, Trevor was surprised

A   how long the distinction had gone unquestioned.

B   how few books were aimed at both girls and boys.

C   how many children enjoyed books intended for the opposite sex.

Questions 26-30

What comment is made about each of these stories?

Choose FIVE answers from the box and write the correct letter, A-G, next to Questions 26-30

Comments

translated into many other languages

hard to read

inspired a work in a different area of art

more popular than the author’s other works

original title refers to another book

started a new genre

unlikely topic

Stories

(26)   Perrault’s fairy tales                       ………………….

(27)   The Swiss Family Robinson              ……………….…

(28)   The Nutcracker and the Mouse King   ………….………

(29)   The Lord of the Rings                       ……………….…

(30)   War Horse                                         ………………….

SECTION 4 Questions 31-40

Complete the notes below.

Write ONE WORD ONLY for each answer.

The hunt for sunken settlements and ancient shipwrecks

ATLIT-YAM

  • was a village on coast of eastern Mediterranean
  • thrived until about 7,000 BC
  • stones homes had a courtyard
  • had a semicircle of large stones round a 31 ……………
  • cause of destruction unknown – now under the sea
  • biggest settlement from the prehistoric period found on the seabed
  • research carried out into structures, 32 …………… and human remains

TRADITIOINAL AUTONOMOUS UNDERWATER VEHICLES (AUVs)

  • used in the oil industry, e.g. to make 33 …………….
  • problems: they were expensive and 34 ……………..

LATEST AUVs

  • much easier to use, relatively cheap, sophisticated

Tests:

  • Marzamemi, Sicily: found ancient Roman ships carrying architectural elements made of 35 ……………

Underwater internet:

  • 36 …………… is used for short distance communication, acoustic waves for long distance
  • plans for communication with researchers by satellite
  • AUV can send data to another AUV that has better 37 ……………,for example

Planned research in Gulf of Baratti:

  • to find out more about wrecks of ancient Roman ships, including

  –  one carrying 38 …………… supplies; tables may have been used for cleaning the 39 ……………
  –  others carrying containers of olive oil or 40 ……………

1,218 thoughts on “Elementor #4268”

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  5. His mix of scholarly information and real-world experience makes him an indispensable
    guide for anybody delving into the intricacies of TRT.
    Understanding the steadiness and what counts as “too much” might help you enjoy testosterone’s benefits safely.

    It’s about knowing your physique and working towards hormonal
    health that helps your well-being without pushing into dangerous territory.
    While we often hear about the perks of having sufficient testosterone, crossing into excessive ranges can convey undesirable
    health points. Some males who have a testosterone deficiency have signs or situations associated to
    their low testosterone that will improve after they take testosterone
    replacement. For instance, a person with osteoporosis and
    low testosterone can enhance bone strength and cut back his fracture danger
    with testosterone substitute. They travel from one organ or one other place within the physique, usually by way of the bloodstream, and have an effect on many various bodily processes.

    For unfavorable effects, excessive testosterone ranges regularly make men really feel extra
    irritable, more anxious, and more likely to develop despair.
    Many males with abnormally excessive testosterone—naturally or via the usage
    of steroids—report increased frequency of violent ideas, desires,
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    and able to construct and maintain more muscle than males with regular or low levels of testosterone.

    High testosterone ranges in males can cause symptoms
    similar to elevated physique hair development, mood adjustments,
    excessive sex drive, pimples, and more.
    The more testosterone you’ve, the greater capability for these qualities to be expressed.
    Free testosterone is testosterone within the physique that
    isn’t connected to proteins. High testosterone, on the
    other hand, could cause conduct and temper adjustments among
    many others.
    Once a male has been precisely tested and recognized with low levels of testosterone, he’ll begin therapy.

    This might be rigorously monitored till the point that the low-level signs have dissipated and
    common ranges have improved. Low testosterone levels may cause signs
    like decreased sex drive, erectile dysfunction, and depressed moods.

    You would possibly assume that since testosterone is
    required to make sperm, that move of it might equal more
    swimmers. But elevated T levels will decrease sperm count—even in the event that
    they don’t surpass the conventional vary. “That’s why I don’t prescribe TRT for males who need to have kids,” says Calvert.
    If you’ve seen guys at the gym who use anabolic steroids to construct muscle mass and amp their performance, you in all probability have a visual of what excessive T levels can do.
    In one examine (3) of healthy men between the ages of forty and 70, researchers noticed these testosterone levels.

    In males, testosterone functions include the regulation of
    libido, bone well being, and muscle mass, in addition to the
    manufacturing of sperm. Elevated levels of testosterone can result in increased levels of estrogen, we’ve mentioned this above.
    Testosterone is naturally capable of convert into estrogen inside the male physique.
    If your testosterone levels are too high
    after using testosterone therapy or steroids, you should correct
    your course.
    However, the results of testosterone broaden beyond just
    bodily ones. In addition to influencing male bodily traits, testosterone also can affect
    mood, sex drive, sperm manufacturing, and cognitive functions, such as memory, focus, and problem-solving abilities.
    This website serves as a set of publicly accessible info and doesn’t purpose to establish
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    This info is meant to reinforce your overall data and is not a replacement for
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    On the opposite hand, it’s extra favorable for girls to get quality over quantity since she has to
    hold a toddler for 9 months and is responsible for the
    majority of child rearing. A number of studies have been printed supporting testosterone’s effectiveness in supraphysiologic dosages.
    It’s been the prevailing wisdom in the medical profession since a minimal of the 1980’s,
    which has much to do with the popular presses’
    unfavorable PR campaigning in opposition to top legal steroids that work in sport.
    Going above that mark means you’re somewhere within the prime 2.5%
    of all males. The bottom 2.5% would put you under 250ng/dl or 9nmol/L serum testosterone.
    Growing your testosterone has powerful cognitive and physiological effects.
    It’s no accident these traits are predominantly male.

    Particularly excessive spikes, like with infrequent dosing, might cause worse unwanted facet effects due to greater hormone imbalance.
    Working intently together with your supplier throughout your testosterone
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    The signs of low testosterone typically overlap with other health circumstances.
    That’s why you want to at all times get a full workup with
    an skilled healthcare supplier earlier than starting TRT.
    When males speak about unwanted side effects of testosterone, they’re usually referring to things like
    water retention, temper swings, low libido, pimples, or breast tenderness.
    While these symptoms are very actual, the true cause won’t be what you assume.

  6. Eine seltene, aber bei Männern wichtige Differenzialdiagnose der Polyglobulie ist die testosteronbedingte Polyglobulie.
    Die Therapie der primären Polyglobulie wird im Artikel Polycythaemia
    vera besprochen. Bei sekundären Polyglobulien muss die Grunderkrankung behandelt werden.
    Ob eine Substitution mit Testosteron zu einer verringerten Mortalität bei
    KHK-Patienten führt, muss jedoch erst noch in weiteren Studien überprüft werden. Thrombozyten können bei PV-Patienten ebenfalls an der Entstehung von Thrombosen beteiligt sein. Nach den Ergebnissen der ECLAP-Studie (19) – einer randomisierten, placebokontrollierten Doppelblindstudie mit 518 Patienten – haben Patienten, die täglich 50 bis one hundred mg Acetylsalicylsäure (ASS) einnehmen ein geringeres Thromboserisiko.

    Kritiker der Studie wenden ein, dass einzelne Patienten dieser Studie nur
    deshalb eine ASS-Therapie benötigten, weil ihr Hämatokrit nur unzureichend abgesenkt war (20).
    Da einzelne PV-Patienten ein erhöhtes Blutungsrisiko haben, ist beim Einsatz
    von ASS auf etwaige Blutungskomplikationen zu achten.
    Ein niedriger P50-Wert (PO2 bei 50% Sättigung) in der Blutgasanalyse spiegelt eine hohe Hb-Sauerstoffaffinität wider (5).

    Die JAK2-Mutationen können primär aus dem peripheren Blut getestet werden. Seine Produktion –
    angeregt durch das luteinisierende Hormon (LH) aus
    der Hirnanhangdrüse – findet hauptsächlich in den Leydigschen Zwischenzellen der
    Hoden statt.
    Die JAK2 (Januskinase 2) ist eine zytoplasmatische Tyrosinkinase, die an der Signaltransduktion verschiedener Zytokine (unter anderem am EPO-Rezeptor) beteiligt ist.
    Die Mutation verstärkt die Aktivität der JAK2 und führt damit zu EPO-unabhängigem Wachstum (Grafik 3).
    Diese Mutation ist erworben, weil sie nicht in der Keimbahn nachweisbar
    ist. Da Erythrozyten keinen Zellkern mehr besitzen, erfolgt der Nachweis dieser JAK2V617F-Mutation im peripheren Blut über Granulozyten-DNA.

    Verschiedene Nierenfunktionsstörungen können auch ohne hypoxische Stimuli zu einer Erythrozytose führen.
    Aus dieser Beobachtung heraus resultierte die Angst, dass
    die Substitution mit Großes blutbild testosteron wert das Wachstum
    einer bisher nicht erkannten Prostata­krebs­erkrankung beschleunigen könne.
    Weder wurde vermehrt Prostata­krebs unter einer Testosteron­substitutions­therapie diagnostiziert, noch besteht bei Männern mit
    hohen Testosteron­spiegeln eine erhöhte Tumorinzidenz.
    Hohes Testosteron wird häufig mit vermehrtem Haarausfall
    in Verbindung gebracht. Ein Zusammenhang,
    der in dieser monokausalen Kind nicht besteht.Eine hormonelle Ursache für verstärkten Haarausfall kann
    allerdings eine Erhöhung des Hormons Dihydrotes­tosteron (DHT) sein.
    Die mittlere Lebenserwartung liegt nach einer retrospektiven Studie aus
    Italien an 70 unter 50-jährigen Patienten bei über 23 Jahren. Von den Probanden hatten seventy three %
    Pipobroman erhalten, das heute wegen seines Leukämierisikos
    nicht mehr empfohlen wird. Das 20-Jahres-Risiko eines
    Übergangs in eine akute Leukämie beträgt 15 %, das früheste Auftreten wurde nach 9 Jahren beobachtet.

    Die kongenitalen Erythrozytosen benötigen aus hämatologischer Sicht ebenfalls meistens keine spezifische Therapie und sind nicht mit erhöhtem Risiko für Thrombosen oder
    Transformation in eine andere Erkrankung verbunden. Die Ausnahme ist
    die Chuvah Erythrozytose (VHL-mutiert), da diese für
    eine Thrombosetendenz bekannt ist. Mit der Zunahme der Testung für die kongenitalen Erythrozytosen sowie einer besseren Datenlage, können hoffentlich zukünftig die klaren Managementstrategien etabliert werden. Um die Mutation, welche für die
    kongenitale Erythrozytose verantwortlich ist, zu untersuchen, muss eine molekulare Testung durchgeführt
    werden. Diese kann vom peripherenBlut erfolgen und mit NGS
    durchgeführt werden.
    Die PV ist eine hämatologische, klonale Erkrankung,
    welche zu der Gruppe der myeloproliferativen Neoplasien (MPN) gehört.
    Die PV-Patienten haben ein deutlich erhöhtes Risiko für venöse und arterielle thromboembolische (auch lebensbedrohliche)
    Ereignisse. Zudem besteht bei ihnen ein Risiko für die Entwicklung einer Myelofibrose,
    einer Type der MPN mit einer ungünstigeren Prognose.
    In seltenen Fällen kann die Erkrankung auch in eine akute myeloische
    Leukämie (AML) fortschreiten. Gemäss der Klassifikation der Tumorerkrankungen der
    Weltgesundheitsorganisation (WHO) sowie dem Internationalen Consensus der Klassifikation (ICC) der MPN aus dem Jahr 2022 gibt
    es klare diagnostische Kriterien für die PV (Tab. 1).
    Prostatakrebszellen sind in der Lage, das Hormon Testosteron für ihr eigenes Wachstum zu nutzen. Durch Hormon­entzug kann es vorübergehend zu einem Stillstand
    des Tumor­wachstums kommen.

  7. Your pituitary gland’s major perform is to secrete
    hormones into your bloodstream. (This is why if you lose your interval because of stress,
    it is referred to as “Hypothalamic Amenorrhea”). A directory devoted to providing
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    Letrozole systemic is used for breast cancer, breast
    cancer, adjuvant, breast most cancers, metastatic …
    Kisqali (ribociclib) is used to treat a sure kind of advanced metastatic
    breast cancer. Notice that this listing isn’t all-inclusive and includes only common medicines which will work together with progesterone.
    You should refer to the prescribing info for progesterone for a complete
    list of interactions.
    It Is like should you stopped watering a plant abruptly; it won’t bounce again right away.
    The key right here is understanding that the impact of TRT on these hormones is dose-dependent.
    So, if you’re serious about stopping TRT, it’s important to taper off gradually.

    Couple this with the truth that there are completely different sizes, shapes, and sorts of males in the world, and the ability to distinguish trans and non-trans men tends to go
    proper out the window. Nevertheless, this
    sort of pondering fails to account for major flaws in observer bias.
    That is, what happens if you side with the institute (Foster) you do not recognize someone as being trans who is sitting right
    in front of you within the elevator or bus or grocery retailer, then you go proper on pondering that you didn’t
    see any trans folks that day! As A Result Of it’s momentary water weight, it
    shouldn’t be considered in terms of added fat.
    It should also be noted that men in general have an overall higher danger of getting liver most cancers than women, though how this correlates to the particular case of trans men is not clear.
    This general lack of know-how could be compounded by certain preconceived notions about men and women, gender roles,
    human sexuality, and even drugs and science.
    In girls, testosterone also plays a task in reproductive health, though it isn’t as
    properly understood. Ladies naturally produce small amounts of testosterone in their ovaries and adrenal glands.
    When ladies take testosterone therapy, it could have an effect on their menstrual cycle and ovulation. For this purpose, women who want to become
    pregnant ought to fastidiously contemplate the timing and effects of testosterone therapy on their fertility.

    This monitoring permits your healthcare provider to make informed selections about your
    tapering schedule and any additional remedies you might want.

    It’s additionally an opportunity to handle any other health concerns that will come up through the process, such
    as adjustments in bone density or cardiovascular health. Maintaining
    an in depth eye on your hormone levels helps in maintaining general well-being as you transition off
    TRT.
    Another concern is the time it takes for fertility to
    return after stopping testosterone therapy. This can range depending on how long the remedy was used and the individual’s health.
    For men, sperm manufacturing could take several months to return to regular after stopping testosterone.
    In each circumstances, it’s necessary to work carefully
    with a healthcare supplier to watch the recovery of fertility.

    Which is pretty much how most non-trans folks preserve a
    wholesome physique weight. This is probably certainly one of the commonest myths about trans people who take testosterone,
    but there is not any compelling evidence to assist
    such a sweeping generalization. Indeed, while some trans males anecdotally report feeling shorter tempered or irritable for a period after starting T, many others
    report that they really feel calmer and extra even-tempered since taking T.
    Yet time and again, trans males and their loved ones voice fear that
    taking testosterone will by some means routinely change a trans man into a horrible, indignant, or violent person. The cessation of menstruation as
    a end result of testosterone is usually short-term,
    particularly within the early phases of HRT. Many transgender males continue to expertise sporadic or
    irregular durations through the first few months of testosterone therapy.
    However, after months or years of consistent testosterone use, menstruation sometimes stops
    altogether.
    However, it’s essential to know why a gradual tapering off process is important.
    Prometrium is a feminine hormone used to trigger menstrual intervals in girls who haven’t but reached …

    Including testosterone to your physique can lead
    to increased fluid retention, leading to your body feeling
    bloated and gaining weight. It is not probably the most extreme aspect effect and mustn’t discourage you from continuing your TRT.
    Relying on whether you’re a light or heavy drinker, your strategy
    around cutting again shall be totally different. While these
    areas might take the greatest hit from regular drinking, they aren’t the
    only ones affected.

  8. Je vous partage tous mes conseils et astuces pour être en forme et améliorer vos performances.
    C’est-à-dire que l’organisme produiralui-même les hormones nécessaires.
    Les compléments ne serviront qu’à booster laproduction de ces dernières.
    Allant d’une hypertrophie hépatique à un cancer dufoie, les conséquences sont souvent fatales.
    Les dégâts infligés sur cet organesont la plupart du temps irréversibles.

    En effet, la surproduction d’enzymes hépatiques pourdigérer ces produits perturbera
    le fonctionnement de cet organe. Les stimulants sont dessubstances ingérées pour
    augmenter le tonus et la vitalité.
    Rutten est un ancien champion poids lourd de l’UFC et de Pancrase, bore et testostérone libre, Marshall, il est célébré pour
    sa polyvalence en fight debout et au sol. Il excellait en fight
    debout grâce à son puissant coup de poing et était compétent au sol avec des methods de soumission.
    Sa personnalité charismatique a également contribué à sa renommée dans le sport.
    Penn est l’un des rares combattants à avoir remporté des titres dans deux catégories
    de poids différentes de l’UFC, poids léger et poids welterweight.

    Son match suivant est organisé contre le vainqueur du tournoi des poids lourds de l’UFC
    thirteen, Randy Couture. Favori, Belfort est pourtant dominé par Couture qui l’épuise
    avec des amenées au sol et ground and pound. Belfort subit
    ainsi la première défaite de sa carrière, par KO technique (TKO).

    McGregor est une famous person du MMA, reconnu pour sa personnalité flamboyante et son punch puissant.
    Il a été champion dans deux catégories de poids de l’UFC et est considéré comme
    la personne qui a le plus popularisé le MMA à travers le monde.

    Il bat ensuite Terry Martin et Matt Lindland dans deux galas organisés par
    la nouvelle promotion américaine Affliction Leisure, avant de signer de nouveau avec l’UFC.
    Le 11 mars 2019, il est arrêté sous l’inculpation de vol à l’arraché et dégradation du smartphone d’un fan[165].
    En août 2019, le website internet TMZ publie une vidéo où l’on aperçoit la star de MMA frapper un homme âgé accoudé à
    un bar parce que ce dernier aurait refusé de boire le whisky que Conor McGregor lui offrait[166].

    Aldo était le roi indiscuté de la division poids plume pendant de
    nombreuses années, avec des compétences en fight debout exceptionnelles et une défense de takedown impressionnante.
    Malheureusement, beaucoup de souviennent surtout du KO
    en thirteen secondes qu’il a subit face à Conor McGregor.
    Toujours selon Forbes, Conor McGregor devient le sportif le mieux payé sur l’année 2020, avec des recettes
    estimées à plus de a hundred and eighty tens
    of millions de dollars[226],[227],[228].
    Conor McGregor et l’Américain Urijah Faber sont
    ensuite rapidement annoncés comme entraîneurs d’une nouvelle saison de la série The Ultimate Word Fighter
    opposant combattants européens et américains.
    Cependant, contrairement à la tradition de l’émission, une
    confrontation entre les deux compétiteurs de l’UFC n’est pas envisagée[48].

    En 2006, Conor McGregor déménage avec sa famille à Lucan, petite ville de la
    banlieue ouest de Dublin[s 1].
    Michael pratique des methods efficaces de gestion du
    stress comme la méditation et la pleine conscience. Le stress chronique peut réduire la testostérone, donc en contrôlant sa réponse au stress, il soutient des niveaux d’hormones sains.

    Les Fondamentaux du Combined Martial ArtsLe premier
    livre pédagogique en langue française consacré au
    MMA est enfin disponible. Organisé en trois niveaux d’apprentissage, ce
    manuel est déjà une référence pour ceux qui veulent découvrir
    la discipline ou se lancer dans la compétition. De plus, MK 2866 peut être pris dans le cadre d’un PCT post-stéroïdien. Dans ce cas, la combinaison d’Ostarine, Clomid et
    Tamoxifène est le choix idéal pour une récupération rapide et pour maintenir les meilleurs résultats.

    Les sportifs y ontsouvent recours pour améliorer leur performance durant les séancesd’entrainement.

    Ils les aident aussi à se relaxer durant les périodes de récupérations.

    Ostarine est un SARM sur lequel de nombreuses
    recherches ont été menées et tous montrent une selected –
    il est à la fois efficace et inoffensif, tant qu’il est pris correctement.
    Internet est inondé d’informations sur les effets secondaires des SARMs et en particulier
    de l’Ostarine. Cependant, très peu d’entre eux sont de réels effets secondaires
    que vous pouvez rencontrer. Ostarine est l’un des SARMs les plus
    recherchés, automotive il convient aussi bien aux débutants qu’aux avancés.
    Cependant, sa meilleure qualité est qu’il n’affecte pas la production de testostérone lorsqu’il est pris aux doses prescrites et de la bonne manière.

    Grâce à son statut, Lucie Bertaud intègre le programme pour sportifs de
    haut niveau en 2008, ce qui lui permet d’obtenir un diplôme de journalisme.
    Des études ont montré qu’il peut augmenter légèrement, mais seulement légèrement,
    la masse musculaire. Trois jours plus tard, la chambre d’hôtel de Stallone a été fouillée
    et les objets (testostérone synthétique) ont été confisqués.

    La famille « androgènes » comporte sept membres, dont la testostérone est la plus importante en quantité et en effets biologiques.

    Les manifestations principales de l’hyperandrogénie sont l’hirsutisme (trop de poils sur le corps),
    l’acné persistante, la voix grave, l’alopécie (chute
    des cheveux), des règles absentes ou irrégulières et
    parfois une hypermusculation. Elle touche 5 à 10
    % des femmes – et donc pas seulement les athlètes de haut niveau.
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