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Injectable peptides and growth hormone secretagogues address this gap

Many of these agents are not approved by the FDA for musculoskeletal indications and may be compounded or sourced outside regulated pharmaceutical manufacturing pathways

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The peptide's wound healing properties may help repair microscopic damage to seminiferous tubules that impairs sperm production

While individuals with mild vitamin B 12 deficiency may not experience symptoms, blood homocysteine and/or MMA may be elevated (18)