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There is no responsible universal answer

Improvement in sperm quality and function with French maritime pine tree bark extract

But the clinical evidence base is thinner than the marketing suggests, and critical questions about skin penetration, optimal formulation, and long-term outcomes remain unanswered

"GreenLight HPS 120-W laser vaporization versus transurethral resection of the prostate for the treatment of lower urinary tract symptoms due to benign prostatic hyperplasia: a randomized clinical trial with 2-year follow-up"

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Some practitioners extend treatment to 6 months, though this remains controversial