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Desaturation and elongation of essential fatty acids The figure shows two vertical pathways of the metabolism of essential fatty acids, illustrating conversion to long-chain polyunsaturated fatty acids through desaturation (addition of a double bond) and elongation (addition of two carbon atoms) reactions: Omega-6 fatty acid pathway: At the top, linoleic acid (18:2n-6) is stepwise converted to 18:3n-6, then to 20:3n-6, then to 20:4n-6 (arachidonic acid), followed by conversion to 22:4n-6, 24:4n-6, 24:5n-6, and finally 22:5n-6

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Several studies have shown that supplementation with carnitine (2000 to 3000 mg per day over a period of 3 - 4 months) can improve the sperm quality

Tamoxifen SERM it is a Selective Estrogen Receptor Modulator

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