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Testicular inflammatory conditions produce pain and may impair local blood flow, which damages germ cells if prolonged

Your GP may adjust your treatment plan, arrange additional monitoring, or refer you to a specialist if concerns arise

Those most commonly affected include people over 50 as the ability to absorb B12 from food naturally declines with age as well as vegetarians and vegans, those with pernicious anaemia, anyone who has undergone gastrointestinal surgery, and those living with digestive conditions such as Crohn's disease or coeliac disease

AOD 9604's full side-effect profile is poorly characterised, and unregulated online products carry additional risks of contamination and infection