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Report the incident Inform the healthcare provider who administered the injection to make sure it is documented

Its good for patients with severe deficiencies or who need quick treatment

While extremely high doses of vitamin B12 can lead to toxicity, excess amounts are excreted in the urine

Goal: Maximize sperm production while on testosterone therapy Approach: HCG 500 IU subcutaneously every other day Consider adding FSH or HMG if response insufficient after 3 months Semen analysis at baseline, 3 months, and 6 months Timeline: Initial testosterone response: 2-4 weeks Sperm appearance: 3-4 months Significant count improvement: 4-6 months If conception remains the urgent priority, discontinuing TRT while increasing HCG to 3000 IU every other day accelerates recovery