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To maintain fertility while on testosterone replacement therapy (TRT), consider: Using HCG alongside TRT to stimulate testicular function and sperm production Freezing sperm samples before starting TRT as a backup Regular semen analysis to monitor sperm count and quality Adjusting TRT dosage if needed to optimize fertility Consulting with a fertility specialist for personalized recommendations How to buy HCG

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Current evidence suggests that simple fatty liver does not directly cause B12 deficiency, but the metabolic conditions, medications, and dietary patterns often associated with fatty liver can increase deficiency risk

Two other surrogate markers of B12 deficiency are elevated homocysteine and MCV, although several other nutrient deficiencies can cause these levels to be elevated, so be sure to work with your provider when interpreting any lab test results

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