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What you can upload A copy of your current prescription (PDF or photo) A medical record or chart note from your prescribing provider showing the active medication and dose A pharmacy printout or label from your most recent fill A recent lab result with your provider's name and the medication noted Existing RxPepsDirect patients on Sema or Tirz: we'll auto-match your email to your prior approved visit

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JAMA (1991) 265(1):945.10.1001/jama.265.1.94 8 LederleFA

Fluoxetine also decreased the activity of 17-beta-hydroxysteroid dehydrogenase type 6 (17-HSD6), a steroidogenesis-related enzyme, and lowered serum testosterone levels by affecting the steroidogenic capacity of Leydig cells