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JWM, AMT, JBM, and PFJ: contributed to specific sections and editing of the manuscript

Please adhere to the following guidelines to support optimal healing: Avoid strenuous exercise for the first 24 hours

Patients should carefully review all safety information and discuss potential risks with a licensed healthcare professional before starting treatment

As a powerful antioxidant, ALA neutralizes reactive oxygen species (ROS) and improves blood flow to nerves, leading to enhanced nerve function and regeneration

Bloodwork helps anticipate susceptibility, and selective estrogen receptor modulators (SERMs) may be used preventively to block estrogen receptors in men prone to gynecomastia