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Hormonal effects related to IGF-1 and androgen sensitivity may play a role

The practical goal is to reduce avoidable contributors: titrate thoughtfully rather than racing to the highest dose, avoid unnecessarily rapid weight loss, prioritize adequate protein, perform resistance training to preserve lean tissue, and monitor for iron, zinc, vitamin D, vitamin B12, vitamin A, and other deficiencies when intake is substantially reduced

Effect of Soursop ( Annona muricata L.) fruit extract on sperm toxicity induced by caffeine in albino rats

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