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Simple timing framework Baseline Discuss baseline labs before starting, especially with diabetes risk, cancer history, edema, nerve symptoms, or active growth-related medical concerns

Animal reproduction studies conducted by the manufacturer showed no adverse fetal effects at doses far exceeding human therapeutic levels, but animal data does not reliably predict human lactation transfer

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Inhibiting sialidase activity interferes with sperm binding to the zona pellucida of the ovum

Dodge HH et al