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Patients have been treated for complications such as dangerously low blood sugar, intense nausea, and pancreatitis, sometimes linked to misuse of compounded or online-sourced versions

Pure structural issues like severe disc extrusions or spinal stenosis show much more limited response

A study in the Journal of Pharmacy Practice found that peptide-based compounds lose potency faster at room temperature

1 A meta-analysis of findings from 11 randomized controlled trials found SERM therapy with either clomiphene citrate or tamoxifen improved some sperm parameters and hormone levels, and more than doubled the pregnancy rate in couples affected by idiopathic male infertility