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181 PengK.YangL.WangJ.YeF.DanG.ZhaoY.et al (2017)

These findings are supported by mechanistic investigations that have identified multiple pathways through which environmental toxicants can induce DNA fragmentation in spermatozoa, including oxidative stress, mitochondrial dysfunction, and direct genotoxic effects (67)
Medical coders must differentiate between therapeutic, prophylactic, and diagnostic drug delivery methods accurately
It is not appropriate for use during pregnancy due to its anti-androgenic effects, and patients with certain electrolyte or kidney concerns require closer monitoring