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194 An uncontrolled trial that enrolled 109 men with low sperm motility found supplementing twice daily with 1 gram myo-inositol, 200 mcg folic acid, 55 mcg selenium, 30 mg L-arginine, 30 mg L-carnitine, and 30 mg vitamin E improved sperm motility in more than 85% of participants after three months

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For suspected macro-B12, precipitation with PEG is the test most often reached for, though it is nonspecific and can remove B12 that is fully available to cells, so direct measurement of the binding proteins, haptocorrin and transcobalamin, may be more informative when it is available