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Expect more pronounced side effects, particularly nausea and appetite suppression

We perform a physical exam and, if needed, imaging to confirm the diagnosis and identify contributing factors (biomechanics, inflammation, hormones, or prior injuries)

For instance, a 45-year-old with mild androgen decline and no comorbidities might tolerate transient mood symptoms in exchange for enhanced sperm quality

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Low levels of vitamin B12 can also lead to anaemia