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These recall responses before vaccination are supported by the notion that all three adult elephants were latently infected with EEHV as anticipated for adult animals, which is corroborated by historical EEHV shedding and serological data indicating humoral immunity to major viral glycoproteins 42
The technique is a proprietary algorithm based on the ultrasonic attenuation coefficient of the shear wave of VCTE, an estimate of the total ultrasonic attenuation at 3.5 MHz
Of note, MS is of lower prevalence but worse severity in males versus females
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Clinical indications commonly include bothersome vasomotor symptoms, genitourinary syndrome of menopause, primary ovarian insufficiency, or hypoestrogenism secondary to surgical menopause in appropriately screened patients
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