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Viechtbauer, 2010), employing a random-effect model via the metafor R package ( 3 Results 3.1 Study selection and characteristics The search strategy identified 2,183 potential articles: 1,299 from PubMed, 353 from Scopus, 527 from Embase, 4 from manual screening

That number alone tells your doctor almost nothing about whether your therapy is actually safe, effective, or sustainable long-term

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They interfere with testosterone production, impair sperm quality, and even disrupt hormone signaling in the brain (through the hypothalamic-pituitary-gonadal axis)

The pituitary gland sits at the base of your brain and acts as the command center for hormone production