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Its a not-so-scientific theory from Freuds 1920 book Beyond the Pleasure Principle that suggests people exhibit this instinct outwardly, with actions that are aggressive, risky, or harmful

The pathogenesis of TAO involves inflammation, excess production of glycosaminoglycans, and adipogenesis resulting in an increase in the volume of both the orbital fatty connective tissues and the extraocular muscle bodies [16]

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[99] The highest rates occur in women 1635 years of age

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