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doi: 10.1016/j.arr.2023.102063 31 ConradMPrattDA

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Always rotate injection sites and never exceed recommended doses without medical supervision

Smith MA, Perry G, Pryor WA (2016) Causes and consequences of oxidative stress in spermatozoa

A patient with unexplained fatigue should be worked up, not injected masking a B12 deficiency of unclear cause, or an unexamined thyroid problem, with a monthly shot is a real clinical risk