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Animal experiments have demonstrated that busulfan can induce significant cytotoxic and apoptotic effects on reproductive glands (size and weight), germ cells in spermatogenic process (sperm production and maturation) (39), and epididymal sperm (40)

These substances can contribute to increased strength, endurance, and power output, allowing you to push through intense workouts more effectively

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Lastly, it is important to remark that ED could represent an early predictor of CV events and the diagnosis of vasculogenic ED at PDU, and particularly at dynamic PDU as the gold standard diagnostic tool, both in patients with or without additional CV risk factors and/or comorbidities, can help to recognize eventual arterial diseases in biggest distal vessels [35, 39,40,41]