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Some use the back of the neck for more direct CNS access, but forearm is the most consistent

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General categories of these cytotoxic payloads include anti-microtubule agents (i.e., DM1) and agents that exert DNA damage such as topoisomerase I inhibitors (i.e., SN-38, deruxtecan) [16]

Poor motility, even with a normal count, can significantly impair fertility