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L-Carnitine levels in the seminal plasma of fertile and infertile men: Correlation with sperm quality
The mechanism of ECM remodeling was shown in Figure 2

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There is an ongoing phase 2/3 randomised, double-blind, placebo-controlled trial (NCT06126315) of the biological and clinical effects of acetyl-l-carnitine planning to recruit ~250 patients [88]
