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Mottillo, E
272 Moreover, sleep apnea causes irregular periods of hypoxia (decreased oxygen levels), which may increase testicular oxidative stress, alter sperm morphology, and decrease sperm concentration and motility
To reduce irritation and lumps, it helps to rotate injection sites (dont inject the same spot repeatedly), inject into healthy skin (avoid bruised, scarred, inflamed, or irritated areas), and keep your routine consistent (many protocols are taken in the morning)