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However, the authors suggested that carnitines and combined AOX led to improvement in sperm motility and polyunsaturated fats while zinc improved sperm concentration when compared to placebo or no treatment [14]

I think we need to be honest about those discussions, and it's not threatening and it's not harmful

Similar results were obtained with LQFM212, 2,6-di-tert-butyl-4-((4-(2-hydroxyethyl)piperazin-1-yl)methyl)phenol, a piperazine derivative

Diagnosis of deficiency and insufficiency clinical and laboratory pitfalls, Critical Reviews in Clinical Laboratory Sciences, 58:6, 399-429, DOI: 10.1080/10408363.2021.1885339 Langan and Goodbred

It can be easily treated with a course of vitamin B12 injections, but if left untreated, the condition can become permanent