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Injecting in the same location repeatedly leads to lipodystrophy (hardened or damaged fat tissue), scar tissue buildup, and increased injection site reactions
Clinically, co-supplementation with acetyl-L-carnitine has proven effective in improving pregnancy rates for men with idiopathic oligoasthenoteratozoospermia 16
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a TUE is highly unlikely to be approved per USADA Known side effects: The most commonly reported adverse effects are transient injection site reactions (redness, itching, swelling), along with occasional headache, flushing, dizziness, or nausea, particularly early in therapy
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