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These conditions can inhibit the body's ability to absorb B12

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[7] Administration therefore restores physiologic androgen levels, suppresses hypothalamic gonadotropin-releasing hormone and pituitary luteinizing hormone, stabilizes nitrogen balance, increases lean body mass and may improve mood and sexual function, yet prolonged suppression of intratesticular testosterone can reduce spermatogenesis, underscoring the need for careful dose titration and fertility counseling when indicated