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Unlike sterile water for injection, bacteriostatic water contains benzyl alcohol (0.9%), which inhibits microbial growth when you re-enter the vial multiple times

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A study of 31 men in 2018 found that taking ibuprofen (Aleve/Motrin) at a dose of 600mg twice a day showed alterations in their testicular-pituitary axis function resulting in hypogonadism (low testosterone), though the direct impact on semen parameters was not evaluated

Maintenance Protocols: How Often Do You Have B12 Injections

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Research context: see published hCG mechanism research (PMID: 23167686) for further reading