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ASCOs 2025 update states that clinicians should discuss the possibility of infertility as early as possible, before treatment starts, so that the full range of fertility-preservation options can be considered

Aug 2020;53(4):605-615

Yes - for most people, especially those who are under 55 and who are treating mild or moderate jowls, they can be significantly or completely removed non-surgically

The absence of structural optic nerve damage on OCT and normal retinal layers further supports the notion that the optic neuritis in this case is likely inflammatory or autoimmune in origin, rather than due to axonal degeneration from vitamin B12 deficiency