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Puberty seems to be an important factor underlying sexually divergent trajectories, suggesting that physiological changes associated with sexual maturation, such as the rising levels of gonadal hormones, may play sex-specific roles in brain maturation [11]

For example, if you have severe hypertension (high blood pressure) that might limit the amount of physical work you can safely do, but is controlled with drugs so that your blood pressure is normal, DDS would consider your impairment "not severe." Similarly, a seriously nearsighted person whose vision can be made clear with glasses doesn't have a severe impairment

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