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The key clinical trials A pivotal study published in BJU International examined three doses of enclomiphene citrate against transdermal testosterone in men with secondary hypogonadism

Triosephosphate isomerase (TPI) and epididymal secretory glutathione peroxidase (GPX5) are markers for boar sperm quality

But other symptoms varied widely: some patients had none at all, while others had psychomotor symptoms, developmental disabilities, and inappropriate weight loss