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Effects of oral L-carnitine supplementation on C-reactive protein and blood sugar in hemodialysis patients: a randomized clinical controlled trial

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A doctor may first review dose, side effects, nutrition, protein, activity, labs, constipation, blood sugar, weight trend, and goals

However, men with significantly abnormal morphology (less than 4% normal forms) do have reduced fertility potential and may benefit from assisted reproductive technologies like IVF or ICSI (intracytoplasmic sperm injection)