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However, not all breast cancers express the estrogen receptor, and fulvestrant is ineffective in these hormone receptor negative tumors.   
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It does not protect against transmission of HIV (AIDS) and other sexually transmitted diseases such as chlamydia, genital herpes, genital warts, gonorrhea, hepatitis B, and syphilis.   
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Sometimes, at the last minute, the donor heart is found to be unsuitable for certain patients.   
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Children with Type B may live a comparatively long time, but may require supplemental oxygen because of lung impairment.   
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