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Given that there is no placebo-controlled human data, no established dose, and a mechanism whose foundational papers were retracted, an absence of noticeable effect is fully consistent with the current evidence it does not necessarily indicate a defective product, the wrong route, or an insufficient duration

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R2.14 We suggest a continuous follow-up and screening of both function and oncological risk of the gonads (2, )

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The analysis typically considers four factors: the physical and chemical characterization of the substance, any safety issues raised by using the substance in compounding, the available evidence of effectiveness for the use, and historical use of the substance in compounding, including the medical condition being treated and any references in the medical literature