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However, given the retrospective design and 6-month follow-up, larger prospective studies with longer observation periods are required to confirm the durability and long-term clinical implications of these findings

Women who were pregnant, lactating, or had not adhered to adequate contraception from at least 30 days prior to the study entry and did not plan to for 1 month after the final supplementation were also excluded

GR and glutathione peroxidase may inhibit lipid peroxidation by functioning as antioxidant enzymes in sperm

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