Explain the factors responsible for these changes.

The changes that occur during adolescence are influenced by a combination of biological, psychological, and social factors. 

Biologically, adolescence is marked by puberty, which triggers physical changes such as growth spurts, the development of secondary sexual characteristics, and hormonal shifts. These hormonal changes, primarily involving estrogen and testosterone, affect not only physical growth but also emotional and behavioral ___ ____ _____ ____ _______ ________ ____ __________ __________ _____.
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