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In addition, the study found that citalopram did not affect sperm quality, although it did cause a significant reduction in sperm production after exposure to concentrations of 110 g/L Reproductive behaviors such as the duration of mating and mating intervals were reduced in antidepressant-exposed adults

This elevated GH then travels to the liver, where a significant portion is converted into systemic IGF-1

Millikin et al., 2016

The interaction between these two factors has been described as sub-multiplicative, but a better understanding is needed of how they jointly contribute to lung carcinogenesis
