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See a doctor if you experience: Persistent fatigue Tingling or numbness Memory issues Balance problems Shortness of breath Unexplained weakness Also seek medical advice before taking high-dose B12 long-term, especially if you have existing health conditions

[7] Administration therefore restores physiologic androgen levels, suppresses hypothalamic gonadotropin-releasing hormone and pituitary luteinizing hormone, stabilizes nitrogen balance, increases lean body mass and may improve mood and sexual function, yet prolonged suppression of intratesticular testosterone can reduce spermatogenesis, underscoring the need for careful dose titration and fertility counseling when indicated

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