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Purging or Breakouts: 8 Actives that Cause Purging | NUME-Lab

An international meta-analysis, conducted by Spanish, Mexican and American universities, reviewed the results of 28 nutritional studies (involving a total of 2900 subjects), in order to assess the effects of nutrients and dietary supplements on the quality of sperm and fertility (12)

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Further evaluation, including electrocardiography, echocardiography, and carotid echo-Doppler examination, can be performed if clinically indicated (23)