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Not a pharmaceutical, medicine, or dietary supplement

The results of sub-group analysis performed after exclusion of 7 studies on patients with varicocele that underwent varicocele repair followed by AOX or placebo/no treatment [27, 32, 55] on a total of 3,653 infertile men, indicated a significant persistent positive effect of AOX supplementation on sperm concentration (weighted MD 5.55 mil/mL [95% CI: 3.87, 7.22]

Any product shipped without cold packs and stored in a warm warehouse for months before reaching you may have reduced potency, and the label mg count will not reflect this

If you reconstitute a powder and see clear solution instead of pink, you know immediately that either the B12 was omitted or the concentration is extremely low