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Secondary hypogonadism, by contrast, arises when the pituitary gland or hypothalamus fails to stimulate the testes appropriately

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However, there is still a lack of complete understanding of the variability of cellular responses induced by differing preparations of PRP and at different stages of tendon pathology

To improve efficacy and reproducibility, future research should focus on the standardization of herbal compounds, optimization of clinical trial design, and adoption of integrative approaches that combine herbal therapies with conventional pharmacological treatments