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Another potential B-enemy: metformin (a medication taken by diabetics to control blood sugar levels)

Homocysteine and cardiovascular disease Observational studies indicate that even moderately elevated blood concentrations of homocysteine raise the risk of cardiovascular disease (CVD), although randomized controlled trials of homocysteine-lowering therapy have generally not translated to reductions in adverse cardiovascular outcomes (26, 27)

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Taylor Kohn, M.D., is a fellow in male reproductive medicine and surgery at Baylor College of Medicine James Staheli, D.O., is the medical director for Broad Health and a family medicine doctor specializing in hormone treatment for men

Your provider reviews your history and will decline treatment when it is not safe or appropriate