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Specifically, a decreased testicular organ index and altered indices of arterial blood gas and serum sex hormone levels caused testicular tissue morphological damage, reduced sperm quality, increased sperm deformity rate and altered malondialdehyde (MDA), superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) concentrations

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The most frequently reported issues are mild, transient irritation, redness, or stinging — often driven by other ingredients in the formula rather than the peptides themselves