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Other proposed contributors discussed in the literature include modulation of the dopaminergic and serotonergic systems, growth hormone receptor expression in fibroblasts, and interaction with the nitric oxide system at the level of vasomotor regulation (Sikiric et al., 2018)
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Mens Health Considerations No contraindications specific to male reproductive health exist, though long-term effects on spermatogenesis and endocrine parameters require further evaluation
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