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Drake CT, Terman GW, Simmons ML, Milner TA, Kunkel DD, Schwartzkroin PA et al (1994)

It increases T cell development in the thymus, increases T cell perforation outside the thymus, and makes the T cells more likely to properly attack a pathogen

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Sleep quality and stress management also significantly influence metabolic function, with poor sleep and chronic stress associated with insulin resistance and weight gain