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There are also concerns about the purity of ipamorelin since its not FDA approved

Cumulative alkylating agent exposure and semen parameters in adult survivors of childhood cancer: a report from the St Jude Lifetime Cohort Study

Current research doesn't provide clear superiority for either approach, and individual preference and logistical convenience should guide timing decisions

(The panel voted against including emideltide.) But the PCACs guidance is a recommendation, not a final rulingand for now, nothing is changing for consumers

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