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117 In a meta-analysis of findings from five randomized controlled trials, CBT specifically targeting insomnia (CBT-I) was found to be effective for improving sleep quality, reducing pain, and decreasing anxiety and depression symptoms in fibromyalgia patients

Symptoms include difficulty achieving or maintaining an erection, which can affect quality of life and intimate relationships

Most physicians tend to assume that if the serum B12 is normal, there is no problem, but, within the lower range of normal, 30 percent of patients could have metabolic B12 deficiency, with high homocysteine levels

Severe oligospermia = 0 and 5 million sperm/mL