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However, hydroxyurea can have a further significant impact on sperm production as well, with studies showing 86% of men decreasing total sperm counts at 6 months

typically 100300 mcg per administration in research contexts Administration: Intranasal spray

Can I substitute one for the other

Benefits of Vitamin B12 Injections Vitamin B12 injections may help support: Energy production Reduced fatigue Brain function Healthy nervous system Red blood cell production Mental focus Improved wellbeing Better metabolism Benefits vary depending on whether you have an underlying Vitamin B12 deficiency

We wouldn't expect the injection to do this because it bypasses the overgrowth