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No serious adverse events have been systematically documented in human use to date, though the absence of systematic reporting infrastructure in the research peptide space means that adverse events are almost certainly underreported

However, given the rarity of the occurrence of SSIBs, the size of the RCT, and the limitations of the retrospective studies, higher-quality and larger prospective trials are needed to determine the credibility of the current conclusions

Recent advances in sperm selection techniques for ARTs, such as magnetic-activated cell sorting or physiological intracytoplasmic sperm injection, may be synergistic with antioxidant therapy by reducing the impact of residual oxidative damage [144]

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Sermorelin was FDA-approved in 1997 under the brand name Geref for growth hormone deficiency in children