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no large-scale controlled human clinical trials establishing safety or efficacy currently exist

Retrograde ejaculation may be the result of weakness in the bladder neck muscles responsible for preventing reverse flow, or high downstream pressure due to a blockage in the urethra

2.3 Monitoring, Dosage Modifications, and Treatment Duration Monitoring for Response and Safety Monitor serum B12 levels periodically during therapy to establish adequacy of therapy

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You may feel a slight stinging sensation when the needle is inserted, but it should not be severe

Reconstituted vials must be labelled with the date and time of preparation, concentration, and beyond-use date in accordance with the protocol and local aseptic policy