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Liver Enlargement and Hepatotoxicity Both enzyme induction and proliferation of endoplasmic reticulum are responses that enhance metabolism and detoxification

This makes it particularly important for individuals with MTHFR gene variations that may impair methylation efficiency

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The most commonly reported side effects on finasteride long term usage are decreased libido, ejaculatory dysfunction or impotence, while some of the patients showed rashes and breast enlargement