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[17] [27] Drugs can increase estrogen activity or increase the estrogen to androgen ratio through various mechanisms, such as binding to estrogen receptors, promoting estrogen synthesis, providing precursors that can be aromatized into estrogen, causing damage to the testes, inhibiting testosterone synthesis, inhibiting the action of androgens, or displacing estrogen from SHBG

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Other people can get infected when they: Breathe in the droplets Touch something the droplets landed on, then touch their noses or eyes Share personal items, like drinking glasses Since strep bacteria can also cause skin infections, it's also possible to get strep throat by touching an infected person's skin sores