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EULAR recommendations for the management of systemic lupus erythematosus: 2023 update

Yes, most men can regain sperm production after stopping TRT, though recovery time varies from a few months to over a year depending on age, dosage, and treatment duration

Common indications include: Pernicious anaemia an autoimmune condition where the stomach cannot produce intrinsic factor, a protein necessary for B12 absorption [8] [9] Malabsorption disorders including Crohn's disease, coeliac disease, or following gastric surgery Strict vegan or vegetarian diets with confirmed deficiency though high-dose oral B12 may be sufficient if no malabsorption exists Certain medications such as metformin or proton pump inhibitors that may interfere with B12 absorption [9] [10] Neurological symptoms including peripheral neuropathy, memory problems, or balance difficulties related to deficiency Diagnosis should be confirmed through blood tests measuring serum B12 levels, full blood count, folate, and often anti-intrinsic factor antibodies

The tradeoff is that GHK-Cu also won't halt DHT-driven miniaturization the way a 5-alpha reductase inhibitor does

Romero FJ, editor

this reveals the complexity of multiple molecular layers that contribute to the same stability code