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Nat Rev Urol 7(3):153 Jia Y-F, Feng Q, Ge Z-Y, Guo Y, Zhou F, Zhang K-S, Wang X-W, Lu W-H, Liang X-W, Gu Y-Q (2018) Obesity impairs male fertility through long-term effects on spermatogenesis

doi: 10.3389/fonc.2016.00153 232 TorizukaTKannoTFutatsubashiMOkadaHYoshikawaENakamuraFet al

Increased L-carnitine reversed the oxidative stress.[ref] Psychosocial stress would include things like stress from relationships, work, and finances

In multiple rodent models of chronic stress (a shared risk factor for major psychiatric illnesses), administration of LAC leads to a rapid and persistent antidepressant-like response by increasing histone acetylation and expression of key genes, including mGlu2 receptors and the downstream brain-derived neurotrophic factor BDNF [27, 30, 34,35,36,37]

For optimal results, take 2 capsules 30-60 minutes prior to exercise

Indian J Med Res 129(4):357368 Hamada A, Agarwal A, Sharma R, French DB, Ragheb A, Sabanegh ES Jr (2011) Empirical treatment of low-level leukocytospermia with doxycycline in male infertility patients