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In a 2016 paper titled, Exercise-Induced Pulmonary Hemorrhage: Where are We Now?, Dr

It is also deliberately produced by immune cells through NADPH oxidase as part of the respiratory burst used to eliminate pathogens

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[DOI] [Google Scholar] 7.Vanderslice J.T., Higgs D.J., Hayes J.M., Block G

Biomolecules 10(11):1551

Disrupted sleep: Alcohol can mess with your sleep and cause you to wake up earlier, which can lead to fatigue and other symptoms associated with lack of sleep (like anxiety) the next day