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While SSRIs are efficacious, their safety profile in terms of reproductive system toxicity remains controversial, especially in developing adolescents, fertile adults, and perinatal pregnant women ( 2 Effects of SSRIs on reproductive cytogenesis 2.1 Effects of SSRIs on male germ cells Several studies have found that fluoxetine disrupts the hypothalamuslobetestis axis, significantly decreasing the serum concentrations of luteinizing hormone (LH), follicle stimulating hormone (FSH), progesterone, and testosterone, while also affecting several sperm quality parameters, as evidenced by decreased sperm concentrations and viability, increased deoxyribonucleic acid (DNA) fragmentation, and lower reproductive organ weights (Monteiro Filho et al., 2014)

Table 1 The summary of engineered strains applied for the HDT production

Riedl et al., 2011

He assumes the peptide is the cause and considers stopping

CoQ10 is a powerful antioxidant that inhibits lipid peroxidation and scavenges free radicals [171,172,173], and it also shows anti-inflammatory effects [174]