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Combined tamoxifen and L-carnitine therapies for the treatment of idiopathic male infertility attending intracytoplasmic sperm injection: a randomized controlled trial

Application: Spray once within each nostril each day

Mass spectrometry was conducted on a Q Exactive HF-X system (Thermo Scientific) equipped with a heated electrospray ionization (HESI) source in both positive and negative ion modes

There is no specific mechanical modelling ( penile physiotherapy ) protocol Vacuum pump therapy twice daily for 10 min each Gradually pump penis until erection is achieved (avoid over pumping) Do not apply any bands Keep the erection for around half a minute Release (deflate) and repeat again (5times) Penile stretching exercises Gradually and gently stretch the penis as far as you can get
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It was found that the spermatogenic impairment could be induced by decreasing expression of ckit, as a survival factor, in spermatogonia or enhancing CK18, as a death factor, in Sertoli cells (42, 4450)