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Hypogonadism Management: Used as an alternative to exogenous testosterone therapy to restore natural hormone balance

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When B12 is low, red blood cells become oversized and inefficient (megaloblastic anemia), and oxygen delivery to follicles drops

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In case of neurologic symptoms or abnormalities, it is suggested to administer hydroxocobalamin, 1000 mg once or twice weekly for a period of up to 2 years, and the package insert for hydroxocobalamin has included these particular instructions for several decades