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HCG can be used alongside TRT for a variety of reasons, such as: ( 4 ) Preserving fertility by maintaining sperm production Preventing testicular shrinkage Supporting natural testosterone production in conjunction with TRT For men who want the benefits of TRT without sacrificing long-term reproductive health, HCG is an important part of the equation

References 1 AarthyM.PanwarU.SelvarajC.SinghS

Further, long-term use of acid-reducing drugs and the anti-diabetes drug metformin and repeated exposure to nitrous oxide have been implicated in vitamin B 12 deficiency (see Drug interactions)

Can You Get B12 Shots Too Often

However, reviews of the publicly available documentation do not offer any sense of the extent to which these initiatives have been systematically successful