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Several cross-sectional and prospective cohort studies have reported that men with poorly controlled diabetes (as reflected by elevated Glycated Hemoglobin A1c (HbA1c) levels) exhibit significantly lower sperm concentration, reduced motility, and higher rates of sperm DNA fragmentation [10, 300]

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A: Regular sterile water is single-dose onlyit must be discarded immediately after opening

Every patient undergoes a thorough evaluation and receives education, nutritional counseling, and long-term support before and after surgery to promote lasting success

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