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On a visit home that summer, the family got out the medal to admire

She tried to convey a little of the strangeness, the way it was longing to escape despite lacking all the engines to do so

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Paradoxically, this chronic inflammation does not improve immune protection it exhausts the inflammatory response system, leading to what immunologists call "immune exhaustion." The immune system is perpetually activated but progressively less able to mount a focused, effective response to specific new threats