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Regulatory status differences Epithalamin is approved in Russia for treatment of menopause-related symptoms, anovulatory infertility, and hormone-dependent tumors

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Ethics declarations Ethics approval and consent to participate The study protocol received approval from the Ethics Committee of the Iran University of Medical Sciences (IR.IUMS.REC.1401.219), and this study was registered on the IRCT website (IRCT20220313054264N1)

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This is only administered as part of a full work-up and evaluation and requires agreeing to a minimum series of IVs in order to see benefits in addition to bloodwork, regular appointments, and additional nutrient IVs to replenish what is pulled out naturally during treatment