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Vitamin B12 is often suggested as a supplement due to its potential to improve sperm parameters

In adults and older children, the total volume used should also stay within safe limits animal studies suggest up to about 30 mL (the full vial) can be given to an adult without benzyl-alcohol toxicity, but one should still use only the amount needed and discard the rest if sterility is lost

PMID 30431328

In United States, the diet is deficient in vitamin B12

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The timing principles that apply to semaglutide also apply to tirzepatide