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The principle of "start low, go slow" is crucial, but thorough individual risk assessment considering all health conditions and medications is essential rather than simply defaulting to one medication over another (Abdulla et al., 2013

Further information is available via the MHRA's guidance on buying medicines online

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Asian Pac J Reprod 8:189 Du Plessis SS, Cabler S, McAlister DA, Sabanegh E, Agarwal A (2010) The effect of obesity on sperm disorders and male infertility

This feeling, while often temporary, can be disruptive and raise questions about how best to manage it without compromising progress