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At-home: Purchasing B12 vials, syringes, and alcohol swabs directly often brings costs down to $2-10 per injection after the initial outlay for supplies
When present, effects are usually mild and may include temporary redness or irritation at the injection site
It has previously been reported that the use of human chorionic gonadotropin (hCG) in addition to selective estrogen receptor modulators (SERMs) such as clomiphene citrate have been shown to result in return of sperm to the ejaculate in testosterone-induced azoospermia [6] ( Figure 1 )
Once a patients Vitamin B12 levels normalize, we transition to a maintenance therapy approach, ensuring that the recurrence of deficiency is prevented
Interesting, but not a replacement for proven therapy
