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Individualized titration is essential to achieve serum trough levels in the mid-normal physiologic range, thereby minimizing adverse effects such as erythrocytosis, gynecomastia due to aromatization, or suppression of endogenous spermatogenesis

Furthermore, Z-VAD-FMK, an apoptosis inhibitor, and Nec-1, a necrosis inhibitor, also improved cell viability under ethanol exposure
Testing Schedule: Baseline sperm analysis before starting Repeat analysis at 3 months Final assessment at 6 months Food vs

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