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Doctors typically start patients on a low dose (0.5-2.5 mg weekly) and slowly increase it over several months to reach the most effective level, usually between 5-12 mg depending on the person

Its impact extends beyond reduced sperm quality and structural damage to reproductive organs, potentially influencing offspring health through genetic mechanisms

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(6) Dioufa N, Schally AV, Chatzistamou I, Moustou E, Block NL, Owens GK, Papavassiliou AG, Kiaris H

The first twin succumbed to rapid deterioration from severe anemia and the second twin required exchange transfusions but, in both cases, there were no Heinz bodies in the blood film or hemoglobin in the urine (52)