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We also look at methylmalonic acid (MMA) or homocysteine levels sometimes

PMID 13348621

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A 45-year-old with low testosterone and normal FSH may respond to peptides that support Leydig cell function, while a 40-year-old with high FSH suggests testicular failure where different tactics are needed

Although less common, this type of hernia can present additional risks, such as the possibility of the stomach becoming entangled with the diaphragm