Other symptoms of uremia include endocrine dysfunction, which affects fertility and causes problems with growth and sex hormones. Uremia may also affect the immune system due to a decreased production of white blood cells, a low response rate to vaccines, and an increased susceptibility to infection and inflammation. Lastly, uremia can cause foul breath -- uremic fetor. This is a urine-like smell of the breath, and it's often associated with a poor prognosis.

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