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Patients should also be aware that certain medicationssuch as proton pump inhibitors (PPIs) and metformincan interfere with B12 absorption, though this is less relevant once on injection therapy

Dietary supplementation with docosahexaenoic acid (DHA) improves seminal antioxidant status and decreases sperm DNA fragmentation

Lack of Safety Data for Different Administration Routes FDA regulations require independent toxicological assessments for different administration routes, including topical, injectable, and oral administration

This damage is called oxidative stress

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