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Surgery is a treatment option that should rarely, and only, be utilized for treatment of older nodules that produce significant vocal impairment and are refractory to voice therapy

StAR, steroidogenic acute regulatory protein, and CYP11A1, cytochrome P450 family 11 subfamily A member 1, are markers for Leydig cells, while 3-HSD, 3-beta-hydroxysteroid dehydrogenase, is a key enzyme in testosterone synthesis

Engaging with Your Wellness Journey As we navigate through this information, we encourage you to reflect on your own wellness journey

doi:10.1105/tpc.107.052597

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