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Selenium (As Selenomethionine)

The data in this limited case study suggest that a dosage of 150iu hCG appears to attain minimal to moderate stimulation (serum concentration of 1mIU/mL) of the testicular leydig cells for a duration less than 24 hours and would likely be insufficient to attain continuous stimulation of the testicular leydig cells, UNLESS given on a daily basis, perhaps more frequently

Ther Deliv

Cardiovascular Health B12 contributes to heart health through several mechanisms: Helps regulate homocysteine levels (a risk factor for heart disease) Supports red blood cell production for efficient oxygen transport Contributes to healthy blood vessel function Helps maintain proper nerve signals to the heart While not a primary treatment for heart conditions, optimal B12 levels support overall cardiovascular wellness

Alternative Management: The provider discusses dosage adjustment, switching to sertraline, or adding adjunctive therapy (such as bupropion) if sexual side effects persist or become intolerable