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Chronic alcohol use creates baseline suppression of GHRH tone and hepatic IGF-1 synthesis, reducing peptide therapy outcomes by 3060% over three months compared to abstinent users

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In male reproductive pathology, ROS generated by mitochondria in asthenozoospermic sperm cause nuclear DNA strand breaks [358] and compromise chromatin condensation integrity through aberrant histone methylation patterns, which directly correlates with diminished sperm quality [351]

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