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A recent study by Pacheco et al., analyzed the proteome of male infertility of unknown origin, including both idiopathic and unexplained male infertility samples (31)

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It is chemically a true peptide (six amino acids, including two D-amino acid substitutions for stability), so unlike some non-peptide GH secretagogues it is correctly classified in this category

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They suggest lifestyle changes to improve symptoms and quality of life