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Addictive substances such as nicotine, alcohol and opioids hijack the brains reward pathway to trigger excess release of dopamine, the "feel-good" neurotransmitter

Obesity can contribute to lower testosterone, and weight loss may help some men if low testosterone is related to excess weight, says Tan

Contraindications are similar to metformin: avoid with renal failure or severe liver disease

Its essential to maintain a sterile environment, follow recommended dosages, and monitor your B12 levels and any potential side effects

If the oxidative stress wins this battle, sperm quality is affected

However, your healthcare provider may modify this timeline based on your individual response