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When the cause of an abnormal semen analysis is unknown, it is considered idiopathic

However, prolonged alcohol use can lead to the compensatory upregulation of NMDA receptors, resulting in an excitatory state that may worsen mood dysregulation

But to go back to, if the perspective was you might need more thiamine, so you should try adding some nutritional yeast to the dishes that you want to impart a cheesy flavor to, which is what nutritional yeast tastes like, because nutritional yeast is really high in thiamine, then that probably wouldnt have happened because the dose would have been a lot lower

10.1038/s41598-023-38842-y 33 XuH.ZhangC.QianY.ZouJ.LiX.LiuY.et al (2020)

Heres a general guide based on form: Injectable: Typical dose ranges from 200 to 500 mcg per day, administered subcutaneously