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However, it is important to note that this nasal spray should not be used by patients with a known hypersensitivity to any of its components

By binding to IGF-1R, IGF-1 can affect metabolism, cell growth (hypertrophy), differentiation and cell division (hyperplasia), prevention of cell death (apoptosis), normal development, and even malignant growth

A previous systematic review also reported that administration of AOXs such as vitamin E, vitamin C, N-acetyl cysteine (NAC), carnitines, CoQ10, lycopene, selenium, and zinc, resulted in significant improvement of sperm concentration, motility, and morphology (102)

Healthcare provider consultation helps determine the most appropriate approach

Timeline : Noticeable improvements begin around 4-6 weeks