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Cortisol is a stress-response hormone that alters the immune system, suppresses the digestive system, increases sugars (glucose) in the bloodstream, and enhances the brains use of glucose to make you feel tense, hyper-alert, and on-edge all to function in stressful situations

Clinically, this is seen in all three layers of the tear film

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Officials from the Wood County Health Department were not immediately available for comment

This calls for an expansion of field monitoring, especially in underrepresented regions, to validate modeled trends and address critical knowledge gaps, highlighting that a more in-depth exploration of localized field data is particularly important for confirming and contextualizing the observed patterns