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Evidence supports that L-carnitine can positively impact male fertility, even at relatively low doses of 2 grams per day

in vitro with chemically reactive metabolites derived from several drugs displaying idiosyncratic toxicity, including troglitazone, acetaminophen, clozapine, and diclofenac (Okada et al., 2011

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doi: 10.1038/ijo.2009.238

Murthy and Fawzi, 2020