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Today it is available only by prescription, compounded by state-licensed 503A pharmacies or FDA-registered 503B outsourcing facilities, neither of which is independently reviewed or approved by the FDA as a finished drug product, most commonly prescribed off-label for adult GH decline or wellness/anti-aging use

Future investigations should focus on large-scale, multicenter randomized controlled trials to define optimal dosing, safety, and long-term benefits of RSV in male infertility treatment, as well as its potential synergistic use with other antioxidants, hormonal therapies, or assisted reproductive technologies

doi: 10.1111/cei.12631 20 BulatV.SitumM.AzdajicM

Mechanick JI, Apovian C, Brethauer S, et al