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doi: 10.1038/s41392-023-01720-0 186 HuangMTengQCaoFHuangJPangJ

For male fertility, research suggests that a combination of both forms may be more effective than either alone

Consider evaluation if shedding is patchy, comes with scalp symptoms, is paired with fatigue or other systemic symptoms, or lasts longer than about 6 months without improvement

More significant weight reduction typically becomes evident after several months of consistent use, with many patients achieving substantial results over a period of 68 weeks, or about 16 months