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Finally, due to the nature of cross-sectional study designs, we cannot interpret the causality of the observed association between VitB12 and insomnia

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The treatment with the conditioned medium of endometriotic mesenchymal stem cells (Ecto-MSC) significantly increased the expression of genes involved in fibrogenesis in ECSCs via the Wnt/-catenin pathway by paracrine production of TGF-1 and Wnt1 [43], activating proliferation, invasion, and contraction of the collagen gel, thus supporting that Ecto-MSCs play a key role in the development of OMA (Fig