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A natural aphrodisiac, maca root powder may also be beneficial as a male fertility supplement, increasing both sperm concentration and motility after 12 weeks of supplementation

Pannala VR, Dash RK (2015) Mechanistic characterization of the thioredoxin system in the removal of hydrogen peroxide

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Although some patients reach their plateau earlier, it can take over a year for the drug to reach full effectiveness

(Strutynsky et al., 2008)

This may be relevant for people with malabsorption disorders such as Crohn's disease or coeliac disease, though it's important to note that for pernicious anaemia, intramuscular hydroxocobalamin injections remain the first-line treatment in the UK, as recommended by NICE and the British Society for Haematology