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Oxidative stress, generated by activated immune cells, produces reactive oxygen species (ROS) and nitric oxide, causing DNA damage in gametes and embryos, reducing sperm motility, and impairing fertilization (10)

doi:10.1016/j.jmig.2025.11.014

The FDA label recommends checking blood sugar before starting and at intervals during use

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Standing up too quickly or changes in posture can then trigger orthostatic hypotension, a condition where dizziness follows sudden position changes