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145,146 Multiple clinical trials indicate ashwagandha may have positive effects on semen parameters, such as semen volume, sperm concentration, and sperm motility, and may help reduce oxidative stress, normalize male reproductive hormones, and increase pregnancy rates in couples being treated for male infertility

However, some individualswhether due to conditions like pernicious anemia, gastrointestinal disorders, or the effects of certain surgeriesmay have trouble absorbing enough B12 from food or oral supplements

BPC-157 is also classified by WADA as a prohibited substance for competitive athletes, which is a regulatory consideration separate from safety

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