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published in the Federation of European Biochemical Societies Letters (a division of Wiley) and Hansen & Degushi , Acta veterinaria Scandinavica concluded that a glutathione deficiency can lead to instability of the sperms midpiece (which contains the mitochondria and ATP necessary for swimming) resulting in defective motility

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Rare but serious: Pancreatitis, gallbladder disease, and severe allergic reactions occur in fewer than 0.5 % of patients, but warrant immediate discontinuation