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When assessing the impact of supplementation or lifestyle changes, a repeat semen analysis should be performed no earlier than 3 months after beginning the intervention

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score 3 = more than 15 cells of which more than 25% have an amoeboid morphology at magnification 600

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Also, hypoxia-induced HIF-1/CPT1A pathway activation alters lipid metabolism, increases oxidative stress and accelerates PTC cell growth [181]

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doi: 10.1111/jsr.13597

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