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Description
The main adverse events reported by male AAS users to SERMs (clomiphene and tamoxifen) were decreased libido and erectile dysfunction (24%), acne (21%), fatigue (19%), mood disorders (13%), visual disturbances (5%), arthralgia (4%), insomnia (4%), and hot flushes (2%)

These associations are most useful when corroborating findings are present, so the rest of the workup, not the B12 alone, determines how far to go

Liu J, et al

Alston CL, et al
