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== Risk in developing Gulf War Illness == Vaccinations have been proposed as an etiological factor in [[Gulf War Illness]], especially the mass vaccinations given prior to military deployment.<ref name="Peakman, 2006" /> Vaccination in the presence of elevated [[cortisol]] levels can drive [[cytokine]] expression toward [[Th2]] dominance.<ref>{{Cite journal | last =Bernton | first=E. | last2 = Hoover | first2= D. | last3 = Galloway | first3 = R. | last4 = Popp | first4 = K. | date = 1995-12-29 | title = Adaptation to chronic stress in military trainees. Adrenal androgens, testosterone, glucocorticoids, IGF-1, and immune function|url=http://www.ncbi.nlm.nih.gov/pubmed/8597461|journal=Annals of the New York Academy of Sciences|volume=774|pages=217–231|issn=0077-8923|pmid=8597461}}</ref><ref>{{Cite journal | last =Ramírez | first = F. | last2 = Fowell | first2 = D.J. | last3 = Puklavec | first3 = M. | last4 = Simmonds | first4=S. | last5 = Mason | first5 = D. | date = 1996-04-01 | title = Glucocorticoids promote a TH2 cytokine response by CD4+ T cells in vitro|url=http://www.ncbi.nlm.nih.gov/pubmed/8786298|journal=Journal of Immunology (Baltimore, Md.: 1950)|volume=156|issue=7|pages=2406–2412|issn=0022-1767|pmid=8786298}}</ref>
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