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Dissected cochlear epithelia are transferred to permeable membrane inserts (Millicell organotypic culture plate inserts, Millipore) which are placed into 1 mL of culture media (Dulbecco's modified Eagle's medium (high glucose, Glutamax, 25 mM HEPES) with 10% fetal bovine serum, 1% N2 supplement and 10 units/ml penicillin) in a 6-well plate

Except where otherwise indicated, the clinical trials described in the following section involved men with idiopathic infertility

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Most patients begin noticing meaningful appetite reduction within the first two to four weeks, with measurable weight loss typically appearing by weeks four through eight

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