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If you have had weight-reduction surgery or have pernicious anemia, celiac disease, or Crohn's disease, B12 injections may be recommended

The most evidence-based approach is to use a GLP-1 medication for appetite regulation and weight loss, while supporting muscle preservation through adequate protein intake (at least 1.2 g per kg of body weight daily) and regular resistance training

Some tears are stable and respond to conservative management

These microsurgical procedures are indicated to repair bilateral obstruction in the vas deferens or epididymis, such as due to vasectomy (contraceptive surgery in which the vas deferens are severed)

Burnham discusses with patients, and why sports medicine specialists need to understand this space